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Kentucky rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $2.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.65 / $1.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.75 / $1.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.64 / $4.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.54 / $3.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.23 / $4.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.21 / $1.21