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Kansas rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $416.56 / $1,619.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $416.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.35 / $461.52 / $478.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.77 / $397.77 / $397.77
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.66 / $335.41 / $416.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $408.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $416.56