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Ohio rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $1,211.85 / $13,517.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $564.15 / $1,422.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.14 / $899.12 / $1,396.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $967.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $949.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $753.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $526.85 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $838.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $542.22 / $558.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $838.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.30 / $698.20 / $809.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $776.87