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Indiana rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $5.47 / $10.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.44 / $2.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.84 / $6.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.42 / $3.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.42 / $6.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.00