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Indiana rates for HCPCS C1748

Endoscope, Single, Ugi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.77 / $343.77 / $343.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $1,545.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,498.80 / $152,998.50 / $222,747.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94,499.06 / $145,798.54 / $182,248.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66