go back

Ohio rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $184.00 / $226.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $198.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.75 / $174.33 / $484.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $79.41 / $130.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
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 / $119.56
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $119.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $80.58