go back

Indiana rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.03 / $234.03 / $1,819.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.59 / $234.03 / $242.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.14 / $400.32 / $1,819.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.38 / $211.73 / $292.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.18 / $279.93 / $354.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.10 / $258.39 / $372.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.04 / $1,819.04 / $1,819.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.00 / $264.00 / $264.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.94 / $196.39 / $221.71