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Indiana rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.27 / $959.35 / $1,778.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $415.04 / $440.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.95 / $864.66 / $1,426.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.45 / $475.56 / $834.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.92 / $824.90 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.92 / $549.92 / $549.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98