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Indiana rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.76 / $1,357.99 / $2,636.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $585.76 / $585.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.96 / $1,159.92 / $1,536.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.97 / $579.97 / $823.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $579.97 / $869.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $724.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $579.97 / $1,360.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.60 / $579.97 / $1,556.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $719.16