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Indiana rates for HCPCS 54699

Unlisted Laparoscopy Procedure Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $4,846.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.00 / $834.00 / $1,386.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.00 / $8,240.00 / $28,794.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,249.53 / $64,749.35 / $89,999.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,249.53 / $59,061.91 / $89,999.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00