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Kentucky rates for HCPCS J2440

Injection Papaverine Hcl Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $76.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $36.00 / $47.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.51 / $44.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $34.34 / $34.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.39 / $4.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $38.25 / $57.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.45 / $37.50 / $37.50