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Indiana rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $14.24 / $440.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $16.28 / $66.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $13.96 / $69.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $16.12