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Indiana rates for HCPCS 91113

Gi Tract Imaging Intraluminal Colon I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.92 / $841.92 / $841.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.79 / $844.36 / $1,022.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.55 / $881.55 / $1,701.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.49 / $881.55 / $1,216.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.51 / $786.29 / $1,073.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.82 / $716.68 / $994.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.53 / $999.53 / $999.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.44 / $1,079.65 / $1,628.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.01 / $1,067.69 / $1,717.60