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Indiana rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $26.89 / $27.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.89 / $26.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $51.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $26.62 / $37.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $39.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $33.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $32.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $33.01