go back

California rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $167.18 / $201.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $74.20 / $126.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.39 / $82.70 / $107.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $75.98 / $152.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.50 / $81.09 / $114.43
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $74.20 / $184.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.00 / $149.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.40 / $384.55 / $384.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $106.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $96.85 / $126.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $183.69