go back

Indiana rates for HCPCS 43496

Free jejunum transfer with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.74 / $2,024.74 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.54 / $2,192.48 / $3,217.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.50 / $790.00 / $1,179.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.09 / $2,113.50 / $2,641.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.06 / $2,055.13 / $2,641.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $2,354.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.38 / $2,495.59 / $3,864.32
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
$979.18 / $2,137.73 / $3,017.28