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Ohio rates for HCPCS J1429

Injection, golodirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $416.64 / $519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $153.60 / $427.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.00 / $374.40 / $1,040.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $172.80 / $277.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.12 / $231.12 / $392.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.20 / $171.20 / $231.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $256.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $256.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $173.06