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Kansas rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $64.18 / $263.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $64.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.17 / $64.91 / $69.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.27 / $64.18 / $76.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $62.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $64.18