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Indiana rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $401.52 / $764.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $166.23 / $168.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $329.18 / $436.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.90 / $164.59 / $233.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $246.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $205.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $461.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $460.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $210.36