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Indiana rates for HCPCS 36456

Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.88 / $824.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.88 / $114.59 / $155.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $3,352.00 / $6,008.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.25 / $103.83 / $139.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.52 / $110.65 / $123.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.52 / $101.80 / $132.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.57 / $110.57 / $110.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.37 / $133.33 / $186.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.00 / $2,253.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $119.88 / $196.91