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Indiana rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.11 / $59.23 / $385.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $26.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.61 / $43.06 / $64.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.53 / $29.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $21.53 / $32.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $26.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $47.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $25.84 / $78.20