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Alabama rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.58 / $354.08 / $588.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.53 / $580.72 / $781.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.13 / $347.13 / $347.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $643.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.74 / $357.54 / $357.54