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Indiana rates for HCPCS 39200

Resection of mediastinal cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.44 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.57 / $862.44 / $998.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,085.00 / $18,927.70 / $28,794.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.83 / $1,331.50 / $1,837.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.65 / $986.02 / $1,137.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.48 / $910.18 / $1,137.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.11 / $1,155.95 / $2,113.17
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
$807.79 / $1,000.80 / $1,510.27