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Indiana rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.25 / $1,635.65 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.79 / $1,635.65 / $2,110.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,574.80 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.24 / $2,574.80 / $3,553.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.16 / $1,659.62 / $1,914.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.16 / $1,531.96 / $1,914.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.98 / $2,235.16 / $5,382.39
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
$1,372.55 / $1,834.90 / $2,778.51