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Indiana rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $35.69 / $74.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.68 / $16.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $33.04 / $43.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $16.52 / $23.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $24.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $18.17 / $18.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $16.52 / $40.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.77 / $31.24 / $31.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $20.66