go back

Indiana rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $177.49 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $103.24 / $162.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.64 / $154.32 / $274.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.27 / $84.46 / $200.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $173.16 / $216.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.62 / $142.62 / $142.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.83 / $143.30 / $274.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.38 / $149.08 / $263.18