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Indiana rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.34 / $881.09 / $1,983.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.34 / $436.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $864.04 / $1,144.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.21 / $432.02 / $613.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $648.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $540.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $1,009.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $545.86