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Indiana rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $81 · 10th–90th $58–$2630%20%10th90th$81Professionalmedian $58 · 10th–90th $47–$930%50%10th90th$58$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $107.15 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $91.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $117.49