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Virginia rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $576.36 / $916.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.06 / $432.68 / $697.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $292.33
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.76 / $384.13 / $472.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.06 / $365.42 / $500.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.00 / $194.00 / $194.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.39 / $298.30 / $381.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $298.30 / $381.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.35 / $298.30 / $374.37