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Indiana rates for HCPCS J3398

Inj luxturna 1 billion vec g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $2,924.00 / $13,158.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,924.00 / $2,924.00 / $2,924.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $2,833.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.33 / $2,833.33 / $3,824.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,590.48 / $4,317.47 / $5,276.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,209.54 / $4,317.47 / $5,396.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,125.20 / $4,125.20 / $4,125.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.00 / $2,890.00 / $2,890.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $3,776.83