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Georgia rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $58.41 / $80.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.20 / $1.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.31 / $1.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.38 / $1.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.27 / $2.49
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
$1.52 / $4.15 / $4.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $5.58 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.79