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North Carolina rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $38.90 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.26 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.89 / $1.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.39 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00