go back

Kentucky rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.91 / $978.91 / $2,080.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.91 / $978.91 / $1,015.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.09 / $485.51 / $1,203.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.71 / $609.00 / $609.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $148.08 / $246.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.40 / $123.40 / $190.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.14 / $1,040.08 / $1,452.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,019.70