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Indiana rates for HCPCS J9301

Obinutuzumab Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.25 / $179.02 / $543.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.25 / $94.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $78.45 / $78.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $158.00 / $191.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $109.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $118.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $98.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $87.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $91.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $83.74 / $97.20