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Virginia rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $33.31 / $82.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.14 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.38 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.45 / $9.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $4.28 / $28.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.47 / $3.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.47 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.04 / $2.56