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Indiana rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $0.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $3.00 / $3.00