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Indiana rates for HCPCS 74301

Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $25.53 / $25.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $25.95 / $32.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $147.88 / $208.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.76 / $108.00 / $153.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $12.14 / $20.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $11.68 / $14.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.54 / $35.56 / $58.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.37 / $50.12 / $63.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $56.88 / $98.71