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Indiana rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $119.93 / $166.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.39 / $34.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $68.09 / $90.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $34.04 / $48.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $34.04 / $51.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $42.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $34.04 / $182.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $137.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $34.03 / $34.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $45.48