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Indiana rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $3,951.36 / $5,564.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.72 / $3,771.83 / $5,055.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $16,821.03 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.61 / $2,390.00 / $3,487.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.80 / $4,280.64 / $4,939.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,292.80 / $3,951.36 / $4,939.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $4,297.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.34 / $4,052.33 / $7,373.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,963.52 / $4,133.53 / $6,964.03