go back

Alabama rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $49.62 / $82.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $49.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $74.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65