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Indiana rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $9.13 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $9.32 / $11.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $10.00 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $10.02 / $13.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.53 / $11.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $11.85 / $19.05