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California rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $47.40 / $731.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.64 / $54.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.33 / $2.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.18 / $8.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.45 / $9.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.42 / $5.15
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
$1.91 / $2.02 / $2.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $4.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.23 / $3.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $4.33