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Indiana rates for HCPCS 51580

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.68 / $2,109.94 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.68 / $1,882.01 / $2,483.96
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
$1,920.64 / $2,400.80 / $3,313.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.72 / $2,230.03 / $2,573.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.41 / $1,972.72 / $2,573.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.81 / $2,502.75 / $4,074.02
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
$1,724.99 / $2,218.10 / $3,660.33