go back

Indiana rates for HCPCS 44604

Sutr Lg Intestine 1/Mult Perforat W/O Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.59 / $1,117.82 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.52 / $1,210.98 / $1,397.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,199.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.55 / $117.55 / $117.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00