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Indiana rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Facilitymedian $437 · 10th–90th $339–$1,1750%20%10th90th$437Professionalmedian $417 · 10th–90th $257–$4570%50%10th90th$417$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $891.25 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $426.58 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $645.65 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $891.25 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $831.76