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Ohio rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $140.22 / $215.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $75.05 / $201.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.93 / $151.21 / $420.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $108.94
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.59 / $86.59 / $86.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $109.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $87.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $60.96 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $135.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.39 / $49.39 / $49.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $135.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $90.46 / $105.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $84.65