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Indiana rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $31.79 / $94.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.43 / $10.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $20.68 / $31.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $10.34 / $14.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $10.34 / $13.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $12.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $17.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $13.81