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Rhode Island rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $68.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $21.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.22 / $18.84 / $19.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99