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Indiana rates for HCPCS J1300

Eculizumab Injection

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.16 / $401.25 / $448.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.47 / $28,874.72 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.04 / $227.04 / $227.04