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Indiana rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.80 / $1,381.68 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.53 / $1,314.53 / $1,761.62
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
$1,151.11 / $1,438.90 / $1,985.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.43 / $1,496.82 / $1,727.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.40 / $1,381.68 / $1,727.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,489.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.93 / $1,558.28 / $2,628.87
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
$1,138.56 / $1,421.47 / $2,507.21