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Indiana rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.01 / $174.07 / $438.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $79.86 / $83.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $159.72 / $193.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $110.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $79.86 / $119.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $99.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $79.86 / $97.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $155.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $85.53 / $106.68