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Florida rates for HCPCS J0207

Injection, amifostine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.55 / $1,067.11 / $2,815.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.55 / $1,067.11 / $1,173.83
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.68 / $470.79 / $1,092.83
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.41 / $1,092.83 / $1,092.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,135.69 / $1,192.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.82 / $1,071.41 / $1,071.41