go back

Virginia rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $19.23 / $38.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $17.61 / $17.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.27 / $17.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $26.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $20.72 / $20.72