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Ohio rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $19.55 / $29.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.10 / $22.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $21.08 / $58.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $17.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $15.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $12.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $20.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $9.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $20.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $11.27 / $13.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $12.53