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Indiana rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $3.50 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $2.42 / $3.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $3.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.68 / $3.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.23 / $4.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.62