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Indiana rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.30 / $86.87 / $105.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $101.66 / $161.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.08 / $97.30 / $113.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.08 / $97.30 / $117.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.28 / $100.28 / $100.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $120.97 / $192.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $93.65 / $136.08