go back

Indiana rates for RC 0189

Leave Of Absence/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $700.00 / $1,775.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $3,736.00 / $4,813.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.60 / $2,380.60 / $2,533.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,169.00 / $1,716.00