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Indiana rates for HCPCS A4360

Adult Incontinence Garment (E.G. Brief Diaper) Each (Not Covered By Medicare. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.40 / $0.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.90 / $1.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.83 / $1.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.34 / $0.51