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Virginia rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $15.97 / $25.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.46 / $9.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $10.74 / $16.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.81 / $19.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $13.44 / $16.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.56 / $10.90 / $14.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $10.90 / $14.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $9.01 / $11.31