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Indiana rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $27.08 / $194.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $11.35 / $12.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $12.19 / $40.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.69 / $9.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $14.89 / $18.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $14.22 / $18.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $13.54 / $35.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $15.69 / $34.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $8.80 / $14.89