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California rates for HCPCS J1100

Injection Dexamethasone Sodium Phosphate 1mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $12.32 / $86.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $1.40 / $4.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.32
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.25