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Nationwide rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $28.18 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $26.92 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $17.38 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $56.23 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $20.89 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $165.96 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $23.44