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Indiana rates for HCPCS 50250

Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.43 / $1,865.08 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.43 / $1,209.21 / $1,596.73
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
$1,099.28 / $1,306.58 / $1,855.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.67 / $1,434.68 / $1,655.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.59 / $1,324.32 / $1,655.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.76 / $1,532.97 / $2,516.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.07 / $1,581.63 / $2,602.52