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Indiana rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.22 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $33.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $21.88 / $24.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $22.91 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $18.20 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $21.38