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Indiana rates for HCPCS 54001

Slitting Prepuce Dorsal/Lat Spx Xcp Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.75 / $476.79 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.75 / $184.75 / $222.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.02 / $222.90 / $357.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.62 / $167.75 / $247.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.63 / $207.72 / $270.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.40 / $1,286.40 / $1,286.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.82 / $237.35 / $405.87
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
$174.93 / $224.78 / $390.78