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Kentucky rates for HCPCS J1330

Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $9.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $5.66 / $5.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.68 / $4.80
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
$4.87 / $4.87 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $6.42 / $6.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73