go back

Indiana rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $27.67 / $52.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.65 / $11.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $23.08 / $30.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $11.54 / $16.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $17.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $14.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $11.54 / $31.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $14.31