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Indiana rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.13 / $4.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $3.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $5.43 / $7.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $5.43 / $6.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $5.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.31 / $3.32