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Virginia 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
$2.82 / $54.65 / $750.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.12 / $4.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.33 / $5.03
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
$1.72 / $2.42 / $5.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $4.26 / $8.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.44 / $4.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.44 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.02 / $2.54