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Virginia rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $579.61 / $1,152.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $534.20 / $534.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $1,073.48 / $1,729.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $740.44 / $1,117.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.45 / $596.88 / $610.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.70 / $521.32 / $715.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.00 / $419.00 / $419.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.10 / $507.35 / $651.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.10 / $507.35 / $651.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.54 / $508.76 / $596.88