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Delaware rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.29 / $1,110.29 / $1,110.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $1,017.64 / $1,017.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.69 / $648.03