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Indiana rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.41 / $117.41 / $117.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $139.81 / $167.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.63 / $175.63 / $338.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.63 / $175.63 / $236.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $231.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.90 / $189.39 / $257.11