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Indiana rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $83.98 / $977.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.04 / $2.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $4.04 / $6.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.02 / $2.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $6.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.43