go back

Indiana rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $77.06 / $163.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.90 / $35.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $71.09 / $94.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $35.54 / $50.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $53.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $44.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $35.54 / $90.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $42.11