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Kansas rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.24 / $587.96 / $1,920.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $466.58 / $604.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.92 / $550.36 / $579.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.86 / $471.86 / $471.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $407.57 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.57 / $510.71 / $611.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.51 / $436.51 / $518.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $534.94