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Indiana rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.10 / $476.58 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.09 / $516.29 / $595.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00