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Indiana rates for HCPCS 47721

Cholecystoenterostomy W/Gastroenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.45 / $1,433.92 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.20 / $1,358.54 / $1,828.79
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
$1,064.48 / $1,330.60 / $1,836.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.93 / $1,553.41 / $1,792.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.93 / $1,433.92 / $1,792.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,541.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.04 / $1,612.28 / $2,713.10
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
$1,141.86 / $1,476.60 / $2,901.96