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Indiana rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $178.80 / $321.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.68 / $149.00 / $245.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $74.50 / $122.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.61 / $105.61 / $129.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.61 / $105.61 / $132.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $208.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $92.38