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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
$60.26 / $79.43 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $144.54