go back

Indiana rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $5,728.30 / $7,954.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,181.93 / $5,728.30 / $8,468.26
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
$3,976.11 / $4,677.78 / $6,642.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,106.64 / $6,508.48 / $7,509.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,006.52 / $6,007.82 / $7,509.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,609.97 / $7,050.41 / $12,381.96
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
$4,813.52 / $6,423.29 / $10,446.68