go back

Kentucky rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $508.76 / $864.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.95 / $599.95 / $1,017.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.44 / $508.76 / $508.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $552.91 / $814.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $559.64 / $783.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.86 / $508.76 / $897.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $508.76 / $508.76