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Indiana rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $127.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $28.38 / $28.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $58.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.56 / $30.08 / $40.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $82.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $37.29