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Indiana rates for HCPCS J3397

Injection, vestronidase alfa-vjbk, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.74 / $632.88 / $1,173.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $260.74 / $260.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.93 / $543.20 / $677.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.77 / $211.50 / $291.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.99 / $384.99 / $470.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.99 / $384.99 / $481.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.02 / $277.02 / $596.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.57 / $277.02 / $739.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $339.64