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Ohio rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $719.88 / $924.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $812.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.46 / $363.57 / $698.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.06 / $218.59 / $466.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.15 / $259.52 / $387.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $488.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $488.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.56 / $256.32 / $297.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.73 / $298.30 / $388.39