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Ohio rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $25.04 / $2,446.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.65 / $25.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $20.14 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $19.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $19.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $15.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $10.88 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $18.30
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $10.88 / $11.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $18.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.69 / $14.43 / $16.73
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 / $12.48