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Colorado rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $35.48 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.60 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89