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Virginia rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $59.57 / $117.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $51.34
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $64.18 / $99.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.58 / $56.42 / $72.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $56.42 / $72.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.73 / $56.42 / $64.18