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California rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.98 / $24.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.20 / $2.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.34 / $1.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.23 / $3.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.44 / $1.67
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $3.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $3.18 / $6.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $2.98