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Indiana rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $32.60 / $41.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $41.44 / $55.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.46 / $47.24 / $55.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $43.31 / $57.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $50.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.23 / $47.89