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Ohio 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
$393.87 / $850.84 / $1,094.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $403.85 / $550.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.46 / $654.79 / $1,117.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $646.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $589.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.28 / $392.09 / $450.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $502.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.08 / $395.26 / $482.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $471.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $433.85 / $568.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $424.67