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Indiana rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.01 / $143.52 / $67,365.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $60.00 / $60.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.41 / $118.82 / $157.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $59.41 / $84.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.41 / $59.41 / $88.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $68.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.41 / $59.41 / $157.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $164.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $79.36