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Indiana rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.19 / $5,610.46 / $16,902.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,672.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $4,859.78 / $5,880.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,353.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,644.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,037.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $5,633.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,750.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,575.67 / $2,915.87