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Kentucky rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $43.65 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $36.31 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $37.15 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31