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Indiana rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.22 / $1,449.57 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.34 / $1,449.57 / $1,870.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $10,577.42 / $18,643.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.20 / $1,271.50 / $1,754.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.45 / $1,577.81 / $2,535.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.35 / $1,465.11 / $2,028.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.90 / $1,832.72 / $3,699.18
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
$1,227.22 / $1,625.76 / $2,524.60