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Indiana rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.69 / $46.03 / $79.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.62 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $36.88 / $55.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $18.44 / $26.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $25.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $23.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $52.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $24.63