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Georgia rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $43.61 / $1,348.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.84 / $48.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $42.80 / $42.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $40.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.45 / $39.45 / $77.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $37.21 / $39.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $39.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $391.19 / $391.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $69.04