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Virginia rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.30 / $45.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.66 / $0.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.22 / $1.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.76 / $2.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.58 / $3.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.76 / $1.71
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.76 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.63 / $0.79