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Indiana rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.22 / $1,583.93 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.44 / $1,583.93 / $2,100.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.40 / $15,205.00 / $25,750.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.76 / $2,316.40 / $3,196.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.53 / $1,601.46 / $1,847.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.53 / $1,478.27 / $1,847.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.15 / $2,180.29 / $4,099.24
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
$1,292.65 / $1,726.81 / $2,690.63