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Kentucky rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $501.19 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $691.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $457.09 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,819.70 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87