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California rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $691.83 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.95 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.46 / $0.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $5.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.49 / $1.02
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.48 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.40 / $1.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.87 / $1.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $1.10
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.56 / $0.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $1.00