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Indiana rates for HCPCS J7308

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

Facilitymedian $589 · 10th–90th $398–$1,0960%20%10th90th$589Professionalmedian $398 · 10th–90th $389–$6610%20%40%10th90th$398$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $954.99 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $398.11 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $588.84 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $630.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $588.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $389.05 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $389.05 / $426.58