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Indiana rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,467.37 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $25,118.86 / $31,622.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $831.76 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64