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Indiana rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $223.66 / $563.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.67 / $125.32 / $250.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $125.32 / $169.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $47.25 / $59.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $47.25 / $59.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $261.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $79.34