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Indiana rates for HCPCS B4160

Enternal Formula For Pediatrics Nutritionally Complete Calorically Dense

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.34 / $0.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.11 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.11 / $1.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.89 / $2.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.17 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.91 / $0.96