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Indiana rates for HCPCS 47701

Portoeneterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.31 / $1,831.68 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.24 / $1,743.12 / $2,342.11
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
$1,549.17 / $1,957.60 / $2,701.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.93 / $1,984.32 / $2,289.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.40 / $1,831.68 / $2,289.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,974.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.28 / $2,109.57 / $3,494.86
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
$1,528.90 / $1,905.51 / $3,204.77