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Ohio rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $5.25 / $7.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.42 / $5.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.23 / $6.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $4.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $4.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.02 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.37