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Ohio rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $340.70 / $503.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $169.81 / $445.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.76 / $264.99 / $411.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $285.00
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.55 / $220.55 / $220.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $279.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $222.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $155.27 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $303.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $303.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.04 / $210.16 / $238.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $214.30