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Indiana rates for HCPCS 33915

Pulmonary artery embolectomy; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.07 / $1,533.61 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.30 / $1,533.61 / $1,978.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.60 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.08 / $1,692.60 / $2,335.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.27 / $1,548.87 / $1,787.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.01 / $1,429.73 / $1,787.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.76 / $1,804.48 / $3,674.43
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
$1,252.15 / $1,645.33 / $2,605.15