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Indiana rates for HCPCS 33930

Donor cardiectomy-pneumonectomy (including cold preservation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.00 / $1,875.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.00 / $1,875.00 / $1,875.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.00 / $12,775.00 / $30,091.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.00 / $2,260.00 / $3,118.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,999.74 / $26,999.73 / $34,999.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,999.73 / $32,399.68 / $40,499.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.06 / $2,983.20 / $5,145.60
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
$2,392.65 / $2,392.65 / $2,392.65