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Virginia rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Facilitymedian $107 · 10th–90th $54–$1450%20%10th90th$107Professionalmedian $54 · 10th–90th $51–$650%50%10th90th$54$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $109.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $53.70 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $107.15 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $64.57