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Kentucky rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $60.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.25 / $41.93 / $71.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $35.54 / $35.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $38.67 / $56.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $37.33 / $54.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.99 / $35.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $35.54 / $48.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54