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Indiana rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.25 / $8,357.16 / $16,538.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,697.44 / $3,697.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $7,321.66 / $9,701.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.70 / $3,660.83 / $5,198.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $5,491.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,576.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $7,994.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,194.98 / $3,660.83 / $9,575.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,577.87