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Rhode Island 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
$23.76 / $23.76 / $23.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $7.53 / $24.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $7.30 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $16.10