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Indiana rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.79 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.14 / $308.67 / $437.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.52 / $376.91 / $535.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.58 / $408.53 / $612.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.97 / $354.06 / $490.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $398.76 / $626.41
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
$287.99 / $356.98 / $603.42