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Indiana rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $299.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.62 / $299.83 / $315.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $243.13 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $108.00 / $163.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,416.73 / $75,936.74 / $109,686.40
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
$49.47 / $49.47 / $125.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $136.81 / $142.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $49.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $21.46 / $40.22