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Indiana rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.93 / $176.93 / $176.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $176.93 / $221.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.20 / $17.20 / $33.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $20.12 / $54.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $175.83 / $314.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $219.83 / $314.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.13 / $261.13 / $261.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.31 / $182.29 / $182.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.15 / $189.17 / $291.62