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Indiana rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $266.06 / $500.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $112.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.36 / $234.48 / $291.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $90.00 / $124.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.21 / $166.19 / $206.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.21 / $164.21 / $205.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.85 / $119.58 / $310.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $139.28