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Indiana rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $549.54 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $389.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $309.03 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $288.40