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Virginia rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $640.45 / $1,273.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $586.38 / $586.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $1,178.34 / $1,898.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.42 / $848.23 / $1,280.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $526.85 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.69 / $645.98 / $670.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.50 / $557.74 / $975.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $555.00 / $555.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.42 / $549.08 / $714.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.42 / $549.08 / $714.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.71 / $558.46 / $645.98