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Rhode Island rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.98 / $294.37 / $352.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.52 / $1.52