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Nationwide rates for HCPCS J1205

Injection Chlorothiazide Sodium Per 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $67.93 / $106.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $40.50 / $51.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.16 / $59.18 / $121.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $40.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $39.45 / $39.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $51.36