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Kansas rates for HCPCS J1320

Injection Amitriptyline Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $9.22 / $10.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $7.75 / $7.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.63 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.64