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Virginia rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.46 / $3.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
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
$1.95 / $4.16 / $4.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $3.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.21 / $1.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.21 / $1.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.21 / $1.52