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Indiana rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.80 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.86 / $125.85 / $159.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.30 / $192.30 / $371.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $192.30 / $265.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.93 / $153.31 / $165.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.28 / $141.52 / $176.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $147.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.96 / $178.99 / $282.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.62 / $150.59 / $258.67