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Ohio rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $11.85 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.50 / $13.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $9.53 / $15.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $9.19
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $12.94 / $12.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $9.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $8.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $15.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $8.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.82 / $7.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.08 / $7.67