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Indiana rates for HCPCS 33940

Donor Cardiectomy

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
$1,935.00 / $12,775.00 / $30,091.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.00 / $1,860.00 / $2,566.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,718.60 / $4,718.60 / $6,116.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,718.60 / $5,662.32 / $7,077.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.33 / $2,455.19 / $4,503.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.00 / $5,735.00 / $11,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.57 / $2,093.57 / $2,093.57