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Washington, DC rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.41 / $121.96 / $310.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.06 / $205.06 / $205.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.33 / $632.33 / $632.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.45 / $298.30 / $483.48