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Indiana rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.04 / $1,180.03 / $2,361.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $514.04 / $519.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $1,017.92 / $1,348.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.61 / $508.96 / $722.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $559.86 / $763.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $559.86 / $559.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.01 / $508.96 / $1,352.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $631.11