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Georgia 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
$1.75 / $45.51 / $92.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.75 / $1.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.90 / $1.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.75 / $1.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3.43
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
$1.09 / $1.18 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.68