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Indiana rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$95.50 / $426.58 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$107.15 / $120.23 / $457.09