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Virginia 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 / $54.19 / $107.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $46.70 / $46.70
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.39 / $33.74 / $58.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.43 / $58.38 / $69.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.22 / $48.65 / $62.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $48.65 / $62.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $48.65 / $58.38