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Kentucky rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $708.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $345.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.20 / $433.91 / $593.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.76 / $367.96 / $367.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.60 / $162.72 / $271.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.60 / $135.60 / $208.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.20 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $745.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54