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Indiana rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $34.03 / $34.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $29.74 / $44.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $12.00 / $17.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $22.28 / $31.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $20.25 / $25.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $35.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $16.64 / $43.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $17.30 / $23.60