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Rhode Island rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $15.56 / $17.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $4.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $25.98