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Indiana rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $42.53 / $148.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.30 / $11.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $22.38 / $33.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $11.19 / $15.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.19 / $11.19 / $16.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $12.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $11.19 / $24.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $13.95