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Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure) cost in Indiana

$7,619
Cash from
$7,619–$25,094
Cash range · 6 distinct prices
$1,905
Insurer rates from
6
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jan 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTERMunster$7,619$1,905Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTCrown Point$8,857$2,274Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITYMichigan City$7,744$2,274Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTELafayette$15,881$2,274Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERDyer$23,597$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLISIndianapolis$25,094$4,316Jan 2026288 days old
Where this procedure name comes from

This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.

What the hospitals published for this code, in their own words:

  • Beavercreek Medical CenterFluorescence lymph map w/ICG
  • Berger HospitalFluorescence lymph map w/ICG
  • Bethesda Hospital Inc.Fluorescence lymph map w/ICG
  • Clinton Memorial HospitalFluorescence lymph map w/ICG
  • Dayton Osteopathic HospitalFluorescence lymph map w/ICG
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTFluorescence lymph map w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERFluorescence lymph map w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLISFluorescence lymph map w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTEFluorescence lymph map w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITYFluorescence lymph map w/icg

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