go back

Indiana rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.85 / $4.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.26 / $1.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.63 / $0.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.26