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Indiana rates for HCPCS 90791

Psychiatric Diagnostic Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.61 / $143.99 / $171.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.61 / $146.12 / $208.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $121.62 / $187.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $130.00 / $165.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $153.00 / $227.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.07 / $140.09 / $183.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.62 / $186.04 / $228.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $147.28 / $234.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.99 / $150.00 / $252.99