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Kentucky 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 / $46.70 / $99.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $46.70 / $48.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.90 / $59.28 / $59.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.72 / $50.26 / $50.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.86 / $20.88 / $37.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $19.86 / $30.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.94 / $49.62 / $74.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65