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Indiana rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $13.09 / $16.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.83 / $27.83 / $39.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $18.97 / $22.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $18.18 / $22.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $32.45 / $32.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $20.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $10.53 / $19.30