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Indiana rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $2,627.68 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.54 / $1,709.77 / $2,116.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,796.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.55 / $1,543.00 / $2,129.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.94 / $2,021.29 / $2,332.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.84 / $1,865.81 / $2,332.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.89 / $2,038.10 / $3,564.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.83 / $1,875.11 / $3,016.48