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Indiana rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $52.67 / $52.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $9.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.71 / $45.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $52.50 / $75.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $52.50 / $52.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $55.00 / $81.45