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Kentucky rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $4.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.64 / $2.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.24 / $2.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $55,999.44 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.38 / $2.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.40