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Indiana rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $74.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.06 / $2.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $27.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $20.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $4.47 / $32.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.58 / $22.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $19.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.98 / $3.61