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Indiana rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.00 / $1.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.82 / $0.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.81 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.51 / $1.32