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Alabama rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.63 / $54.55 / $90.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $88.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $58.11