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Indiana rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.25 / $500.71 / $26,622.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $183.48 / $221.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $366.96 / $444.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $253.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $183.48 / $275.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $229.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $183.48 / $234.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $207.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $204.25 / $220.18