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Colorado rates for HCPCS J0207

Injection, amifostine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.55 / $1,028.55 / $3,970.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.55 / $1,054.27 / $1,092.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.42 / $1,881.18 / $3,428.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.69 / $1,135.69 / $1,135.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.55 / $1,028.55 / $1,601.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $3,495.00 / $5,542.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,071.41 / $1,135.69