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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
$4.17 / $41.69 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.07 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.51 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.19 / $8.71
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.68 / $5.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.09 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.45 / $5.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $4.27 / $6.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.63 / $4.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $5.89