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Alabama rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $17.61 / $17.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.61 / $29.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.60 / $253.15 / $340.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.21 / $32.21 / $32.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72