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Indiana rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.04 / $1,291.03 / $2,538.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $564.04 / $564.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $1,116.92 / $1,479.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.69 / $558.46 / $793.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $837.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $698.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $1,465.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.88 / $558.46 / $1,479.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $698.35