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Indiana rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $59.37 / $260.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $57.92 / $61.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $120.68 / $150.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $88.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.16 / $184.91 / $258.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.29 / $184.91 / $231.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $80.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $70.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $67.81