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Ohio rates for HCPCS J9023

Injection, avelumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $217.20 / $7,262.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $100.30 / $127.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.10 / $161.13 / $250.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $112.60 / $167.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.09 / $100.09 / $150.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $100.09 / $135.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.42 / $100.09 / $102.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $100.09 / $125.68
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.95 / $102.69 / $222.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $100.09 / $141.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $115.10 / $140.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $100.09 / $124.04