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Ohio rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $146.87 / $208.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $150.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.60 / $131.97 / $366.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $119.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.42 / $81.42 / $138.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $60.31 / $81.42
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 / $90.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $90.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $73.43