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Indiana rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.21 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.36