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Rhode Island rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $29.28 / $29.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $9.02 / $13.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $15.59