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California rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $17.78 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $10.72 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.33 / $25.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $13.80 / $19.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.96 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.33 / $19.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $14.79 / $22.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $16.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.33 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $21.88