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Indiana rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Facilitymedian $4,571 · 10th–90th $245–$6,4570%20%10th90th$4,571Professionalmedian $1,230 · 10th–90th $288–$1,7380%10%10th90th$1,230$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $3,235.94 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,318.26 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $4,786.30 / $6,456.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $181.97 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $1,318.26 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,348.96 / $2,511.89