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Virginia rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.75 / $5.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.54 / $2.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $5.11 / $8.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.53 / $5.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.79 / $2.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.37 / $3.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.37 / $3.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.42 / $3.04