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Indiana rates for HCPCS 49999

Unlisted Procedure Abdomen Peritoneum & Omentum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $4,846.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $174.00 / $174.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.00 / $8,240.00 / $28,794.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,999.73 / $27,999.72 / $38,999.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,999.73 / $32,399.68 / $40,499.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $351.00 / $9,999.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00