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Indiana rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $49.48 / $119.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.76 / $1.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $3.50 / $5.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.75 / $2.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.74 / $2.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.50