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Nationwide rates for HCPCS J0390

Injection Chloroquine Hydrochloride Up To 250 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.40 / $18.15 / $37.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $17.20 / $17.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $18.68 / $58.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.27 / $18.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.09 / $22.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $21.76