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Ohio rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $2 · 10th–90th $1–$30%20%10th90th$2Professionalmedian $21 · 10th–90th $1–$320%20%10th90th$21$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.74 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.41 / $4.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $22.39 / $35.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.98 / $1.15
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.95 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.71