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Indiana rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $297.32 / $1,337.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $297.32 / $315.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $643.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $434.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.99 / $122.88 / $129.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $128.60 / $128.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $364.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $328.29 / $371.65