go back

Indiana rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $12.86 / $24.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.52 / $5.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $10.92 / $14.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.46 / $7.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.46 / $14.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.08 / $7.29