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Indiana rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $16.27 / $41.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.10 / $9.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $18.02 / $27.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.01 / $12.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $12.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $11.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $9.01 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $15.32