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California rates for HCPCS C9254

Injection, lacosamide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $95.50 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.35 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.38 / $0.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.34 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78