go back

Virginia rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $20.07 / $39.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $19.36 / $19.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $33.96 / $51.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $22.13 / $26.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $16.96 / $40.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $18.44 / $23.60
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.18 / $18.44 / $23.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $18.44 / $23.14