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Kansas rates for HCPCS J0735

Injection Clonidine Hydrochloride 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.86 / $82.84 / $211.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.53 / $26.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $21.90 / $37.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.14 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $26.90 / $42.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $17.67 / $28.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $30.89