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Indiana rates for HCPCS 89258

Cryopreservation; embryo(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.58 / $628.20 / $628.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.80 / $487.58 / $586.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $900.00 / $3,562.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $440.00 / $605.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,471.69 / $16,586.68 / $23,386.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,749.62 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.20 / $628.20 / $1,331.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.55 / $231.83 / $580.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $486.86 / $1,000.00