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Indiana rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $10.02 / $30.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $8.90 / $10.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $5.94