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Indiana rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.36 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.17 / $4.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $5.31