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Indiana rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.73 / $183.67 / $567.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $90.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.07 / $164.14 / $198.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $113.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $82.08 / $123.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $102.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $92.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $87.00 / $92.68