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Indiana rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.65 / $0.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.22 / $1.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.17 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.49 / $0.75