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Ohio 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
$2.81 / $45.40 / $128.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.18 / $44.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $4.73 / $13.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.83
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.18 / $3.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.18 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $6.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $11.15 / $20.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $7.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.71 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.63