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Indiana rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04