go back

Indiana rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $223.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $295.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $128.82 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $213.80 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,238.72 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $251.19