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Indiana rates for HCPCS J9071

Injection, cyclophosphamide (AuroMedics), 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $2.78 / $5.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.26 / $1.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.67 / $0.85