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Indiana rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
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 / $0.31 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.21 / $0.35