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Indiana rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.54 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.94 / $963.54 / $1,300.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.10 / $1,218.88 / $1,682.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.71 / $1,211.69 / $1,398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.07 / $1,118.48 / $1,398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.75 / $1,610.75 / $1,610.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.96 / $1,292.84 / $2,135.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.40 / $1,243.47 / $2,064.19