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Indiana rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $1,023.29 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $1,698.24 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $134.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,089.30 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $81.28 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $77.62 / $128.82