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Indiana rates for HCPCS 50040

Nephrostomy Nephrotomy W/Drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.45 / $1,386.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.45 / $921.15 / $1,216.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,580.56 / $24,062.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.64 / $1,153.30 / $1,593.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.66 / $1,263.05 / $1,894.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.13 / $1,094.64 / $1,515.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.17 / $1,186.64 / $1,999.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.01 / $1,061.58 / $1,817.96