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Indiana rates for HCPCS 35121

Dir Rpr Aneurysm Hepatic/Celiac/Renal/Mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.81 / $1,741.87 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.92 / $1,741.87 / $2,247.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.10 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.68 / $2,132.10 / $2,942.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.10 / $1,894.90 / $3,045.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.18 / $1,759.55 / $2,436.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.20 / $2,266.28 / $4,552.20
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
$1,477.62 / $1,991.15 / $2,958.92