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Kansas rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.19 / $98.38 / $177.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $42.60 / $98.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.95 / $107.24 / $112.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $78.18 / $219.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $40.38 / $64.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $39.45 / $63.12