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Indiana rates for HCPCS 54650

Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.61 / $1,709.92 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.41 / $698.61 / $931.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.86 / $881.08 / $1,236.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.41 / $975.56 / $1,463.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.89 / $845.48 / $1,170.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.41 / $2,258.41 / $2,258.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.31 / $901.66 / $1,537.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.99 / $829.52 / $1,482.99