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Rhode Island 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
$59.05 / $59.05 / $59.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.67 / $17.67 / $33.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $18.17 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $58.06