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Kansas rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.32 / $1.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.31 / $2.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.87 / $2.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.50