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Kansas rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $365.42 / $902.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $365.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.50 / $358.31 / $488.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.95 / $316.95 / $316.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.06 / $336.00 / $372.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $462.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $462.75