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California rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $2.06 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.91 / $1.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.00 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $2.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $2.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.92