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Alabama rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $508.76 / $508.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $869.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,399.81 / $25,969.67 / $34,937.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.41 / $508.76 / $508.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $696.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76