go back

Georgia rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $74.20 / $74.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $74.20 / $74.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.50 / $80.83 / $80.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $84.93 / $84.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $78.23 / $153.32
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
$75.98 / $132.00 / $205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $82.19