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Indiana rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.24 / $2,082.17 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.24 / $2,082.17 / $2,686.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.96 / $2,538.69 / $3,503.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.35 / $2,264.17 / $3,638.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.13 / $2,102.44 / $2,911.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.10 / $2,681.46 / $5,238.31
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
$1,798.60 / $2,453.09 / $3,675.92