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Indiana rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $48.98 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $45.71 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $72.44 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $93.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $35.48 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $58.88