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Indiana rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $34.51 / $101.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $14.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $8.38 / $10.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $5.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.19 / $6.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $6.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.19 / $11.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $87.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.44 / $5.60