go back

Indiana rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $22.64 / $44.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $9.78 / $10.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.49 / $20.39 / $30.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.16 / $8.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $3.28 / $5.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $10.40 / $10.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.81 / $11.81