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Virginia rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.45 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.24 / $2.64