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Indiana rates for HCPCS A4246

Betadine Or Phisohex Solution Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.24 / $1.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $12.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $6.59 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.33 / $12.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.15 / $13.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $2.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.22 / $2.16