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Indiana rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.23 / $5.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $2.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.08 / $2.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $5.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.98