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Indiana rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.91 / $66.86 / $130.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $28.91 / $30.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.35 / $60.00 / $90.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $8.60 / $30.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.83 / $16.73 / $38.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $16.73 / $38.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $31.80 / $34.40