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Kentucky rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.60 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.60 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $58.88 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.20 / $18.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $52,480.75 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89