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Ohio rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $61.66 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.12 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $19.50 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.23 / $18.62
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $69.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $47.86 / $154.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.48 / $13.80
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $12.02 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.02