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Mississippi rates for HCPCS J0720

Injection Chloramphenicol Sodium Succinate Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $70.06 / $70.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $49.62 / $70.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $41.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.90 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $48.65 / $63.25