go back

Mississippi rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.64 / $438.50 / $438.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.64 / $310.61 / $438.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.47 / $268.47 / $268.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.02 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.37 / $298.30 / $448.58