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Ohio rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Facilitymedian $4 · 10th–90th $2–$70%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $4.47 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.57 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.62 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $50.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.40