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Virginia rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $22.04 / $42.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $22.04 / $22.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $44.29 / $71.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $33.97 / $51.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $20.14 / $25.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $20.26 / $35.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.22 / $19.94 / $26.87
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.22 / $19.94 / $26.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.99 / $20.99