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Indiana rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.01 / $952.73 / $1,790.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.01 / $431.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $784.18 / $948.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.27 / $392.09 / $541.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $588.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $470.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.60 / $392.09 / $1,091.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $423.46