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Ohio rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $1,258.53 / $1,931.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $585.79 / $1,449.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.36 / $933.75 / $1,652.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $977.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $579.97 / $985.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $782.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $547.14 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $889.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $889.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.96 / $724.98 / $840.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $759.76