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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
$46.70 / $58.38 / $221.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $46.70 / $58.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.19 / $56.10 / $61.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.38 / $58.38 / $58.38
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 / $49.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.74 / $58.38 / $69.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $57.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $58.38