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Indiana rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.58 / $564.14 / $1,105.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $246.04 / $255.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $487.22 / $589.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $328.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $243.61 / $328.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $280.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.39 / $243.61 / $300.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $243.61 / $258.23