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Washington, DC 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
$49.62 / $49.62 / $49.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $50.27 / $50.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $55.53 / $55.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.27 / $48.65 / $78.84