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Colorado rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $1,005.96 / $1,280.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $535.84 / $611.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.95 / $875.07 / $1,628.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $716.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.35 / $539.28 / $843.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.57 / $559.63 / $681.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76