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Ohio rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $118.73 / $162.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $142.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.63 / $132.02 / $366.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $59.81 / $98.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.73 / $80.73 / $137.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $59.81 / $80.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $85.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $85.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.79 / $74.76 / $86.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.31 / $56.42 / $61.02