go back

Ohio rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $5.76 / $22.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.31 / $6.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $5.29 / $14.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $4.50
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $12.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $6.50 / $23.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $12.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.27 / $5.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.14