go back

Washington, DC rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $21.23 / $28.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $13.89 / $23.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $7.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $6.21 / $7.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $7.31 / $11.85