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Indiana rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,288.25 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $645.65