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Indiana rates for HCPCS 33503

Rpr Anom Coronary Artery Pulm Art Origin Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.53 / $1,483.38 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.60 / $1,483.38 / $1,914.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.30 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.61 / $2,113.30 / $2,916.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.98 / $1,507.71 / $1,739.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.77 / $1,333.75 / $1,739.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.57 / $1,907.26 / $4,082.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.58 / $1,592.36 / $2,519.82