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Indiana rates for HCPCS A4436

Irrigation supply; sleeve, reusable, per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $23.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $5.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $4.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $30.58 / $35.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $28.22 / $35.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $13.56 / $24.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $12.36 / $20.60