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Kansas rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.55 / $101.44 / $330.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $69.79 / $101.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.36 / $111.68 / $119.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $60.96 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.76 / $87.81 / $105.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $75.05 / $96.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $103.39