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Indiana rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $75.02 / $100.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $77.92 / $124.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.86 / $89.28 / $107.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $99.61 / $166.09