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Virginia rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.71 / $25.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.71 / $13.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $16.96 / $25.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $15.67 / $33.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $29.39 / $58.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.41 / $15.80 / $31.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $15.80 / $31.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.70 / $19.70 / $29.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $13.06 / $16.39