go back

Indiana rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $18.60 / $113.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.06 / $2.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $4.08 / $6.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $5.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.08