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Indiana rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.32 / $1,471.28 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,471.28 / $1,751.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.00 / $15,205.00 / $25,750.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.87 / $2,020.00 / $2,787.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.81 / $1,493.48 / $1,723.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.27 / $1,378.60 / $1,723.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.17 / $1,900.54 / $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
$1,232.98 / $1,612.88 / $2,499.29