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Indiana rates for HCPCS J2783

Injection Rasburicase 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.24 / $891.10 / $1,711.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $381.30 / $381.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.52 / $755.04 / $1,000.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.89 / $377.52 / $536.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.52 / $377.52 / $566.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $471.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.86 / $377.52 / $1,021.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $420.26 / $438.37