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Indiana rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.03 / $2,165.07 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.67 / $2,165.07 / $2,858.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.82 / $3,044.30 / $4,201.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.61 / $2,187.84 / $2,524.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.10 / $1,935.39 / $2,524.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.27 / $2,887.89 / $6,668.41
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
$1,828.40 / $2,433.34 / $4,646.07