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Indiana rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.93 / $4.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.35 / $1.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $1.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.52 / $1.90