go back

Indiana rates for HCPCS 43843

Gstr Rstcv W/O Byp Oth/Thn Ver-Banded Gstp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.86 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.08 / $1,288.75 / $1,732.12
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
$1,064.80 / $1,331.00 / $1,836.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.33 / $1,474.63 / $1,701.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.33 / $1,361.20 / $1,701.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,463.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.06 / $1,526.27 / $2,582.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $18,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.58 / $1,411.75 / $2,744.75