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Kansas rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $46.77 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $46.77 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $58.88 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $58.88 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $58.88