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Indiana rates for HCPCS A4617

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $4.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.75 / $3.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.24 / $4.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $4.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $3.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $4.76 / $6.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $4.98 / $5.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $4.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.06 / $3.36