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Indiana rates for HCPCS 80201

Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $16.60 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.77 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $12.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.02 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.51 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.59 / $13.18