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Indiana rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $60.26 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $37.15 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.20 / $45.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.30 / $28.18