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Ohio rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $43.45 / $69.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $21.62 / $52.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.67 / $36.65 / $60.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $36.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $35.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $28.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $28.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $26.23 / $29.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.48