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California rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.74 / $778.97 / $916.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.43 / $345.74 / $588.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.31 / $618.16 / $1,386.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.28 / $354.08 / $787.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.00 / $100.00 / $499.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.90 / $374.90 / $929.75
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 / $367.96
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
$406.40 / $7,359.25 / $7,359.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.32 / $367.96 / $494.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $367.96 / $399.31
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $478.35 / $625.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $756.56