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Virginia rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.41 / $2.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.29 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.41 / $1.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.52 / $1.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.52 / $1.52