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Indiana rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.65 / $1,509.11 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.43 / $1,436.59 / $1,924.91
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
$1,140.64 / $1,425.80 / $1,967.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.58 / $1,634.87 / $1,886.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.58 / $1,443.08 / $1,886.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,630.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.78 / $1,724.69 / $2,869.83
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
$1,280.42 / $1,628.98 / $2,804.88