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Indiana rates for HCPCS J1427

Injection Viltolarsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $135.36 / $243.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $54.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.22 / $112.80 / $169.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $56.40 / $77.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.95 / $79.95 / $97.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $79.95 / $99.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $158.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $69.94