go back

Indiana rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $912.01 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $575.44 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $741.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $575.44 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $446.68