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Kentucky rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.24 / $4.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.23 / $1.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.45 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.00 / $2.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.17 / $2.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $6.22 / $6.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40