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Indiana rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,179.98 / $2,280.51 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.26 / $2,280.51 / $3,009.24
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
$2,178.12 / $3,265.60 / $4,506.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.79 / $2,304.04 / $2,658.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.79 / $2,038.19 / $2,658.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.90 / $3,061.50 / $6,967.81
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
$1,944.41 / $2,506.10 / $3,919.16