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Indiana rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $53.14 / $85.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $21.20 / $21.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $41.98 / $55.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $20.99 / $29.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $28.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $26.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $55.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $60.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $26.03