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Indiana rates for HCPCS C9250

Human Plasma Fibrin Sealant Vapor-Heated Solvent Detergent (Artiss) 2 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.54 / $176.54 / $176.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $176.54 / $178.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.88 / $204.49 / $313.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.68 / $160.68 / $214.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.95 / $305.95 / $396.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.95 / $367.14 / $458.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.68 / $187.57 / $282.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57