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Indiana rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $2.42 / $68.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.80 / $0.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.58 / $2.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.79 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.79 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.99