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Indiana rates for HCPCS 35112

Dir Rpr Ruptd Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.94 / $1,801.13 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.94 / $1,801.13 / $2,324.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.30 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.25 / $1,440.30 / $1,987.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.59 / $1,958.80 / $3,148.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.10 / $1,818.88 / $2,518.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.78 / $2,224.37 / $3,975.21
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
$1,593.93 / $2,191.01 / $3,160.94