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Georgia rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.27 / $53.27 / $53.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $53.27 / $53.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $61.22 / $61.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $60.97 / $60.97
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 / $54.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $36.02 / $54.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $64.18