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Indiana rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.38 / $781.38 / $1,202.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.10 / $238.46 / $247.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $476.92 / $577.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $329.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $238.46 / $357.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $298.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $238.46 / $331.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $398.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $265.45 / $321.92