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California rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $21.60 / $104.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.76 / $2.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.86 / $2.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.75 / $4.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.54 / $3.39
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.10 / $3.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.75 / $3.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.92 / $2.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3.88