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Indiana rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.43 / $1,812.29 / $10,985.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $749.98 / $1,162.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,660.00 / $11,294.00 / $30,091.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.52 / $959.40 / $1,323.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.05 / $1,032.08 / $1,548.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.45 / $894.47 / $1,238.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,833.32 / $3,833.32 / $3,833.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.03 / $957.35 / $1,570.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.00 / $905.55 / $1,528.10