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Indiana rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $894.85 / $1,741.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $386.96 / $411.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.27 / $806.16 / $1,068.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $427.27 / $589.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.21 / $571.37 / $773.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.09 / $571.37 / $714.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $461.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $448.71 / $483.70