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Ohio rates for HCPCS J0637

Injection, caspofungin acetate, 5 mg

Facilitymedian $7 · 10th–90th $4–$120%10%20%10th90th$7Professionalmedian $4 · 10th–90th $3–$70%20%40%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.76 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $7.76 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $7.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $7.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $16.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $5.37
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $6.03 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $5.01