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Georgia rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.90 / $52.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.90 / $43.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $57.88 / $130.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.44 / $35.54 / $35.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $69.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.02 / $37.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $37.74