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Colorado rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $80.36 / $102.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $42.80 / $48.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.50 / $71.01 / $126.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $37.21 / $109.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $65.44 / $389.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $43.39 / $64.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45