go back

Rhode Island rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.60 / $1,187.60 / $1,187.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $310.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $316.20 / $334.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.88 / $328.88 / $328.88
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.31 / $298.30 / $298.30