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Kansas rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.74 / $35.74 / $158.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $36.26 / $49.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.48 / $33.11 / $38.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.82 / $38.82 / $38.82
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $35.90 / $54.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.99 / $35.90 / $39.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $42.11