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Indiana rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.42 / $818.82 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.18 / $770.52 / $1,039.40
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
$711.07 / $950.70 / $1,283.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.35 / $887.06 / $1,023.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.35 / $818.82 / $1,023.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $876.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.98 / $936.08 / $1,507.21
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
$670.38 / $817.12 / $1,364.54