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Indiana rates for HCPCS Q4189

Artacent Ac 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $20.02 / $20.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $20.02 / $20.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $20.85 / $21.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $86.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $79.81 / $99.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $28.69