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Ohio rates for HCPCS J0485

Injection, belatacept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $8.44 / $3,628.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.93 / $9.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $6.26 / $9.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $7.39
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $5.21 / $5.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.67 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $7.19 / $10.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.86 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.41