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Rhode Island rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.71 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.28 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $3.41