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California rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $4.49 / $5.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.99 / $3.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.14 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.04 / $4.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $5.30 / $5.30
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $5.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.08 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.86