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Indiana rates for HCPCS 49020

Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,125.38 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,623.41 / $12,022.64