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Indiana rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $16.53 / $72.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.93 / $2.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $5.80 / $8.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.90 / $4.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.90 / $5.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.94