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Indiana rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $14.57 / $46.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $10.39 / $12.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $12.08 / $38.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.56 / $10.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $15.20 / $17.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $14.57 / $17.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $12.67 / $32.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $14.46 / $34.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.62 / $12.67