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Virginia rates for HCPCS J3246

Injection, tirofiban HCl, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $7.24 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $6.92 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $5.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.37 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.47 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.47 / $5.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.47 / $10.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.39 / $5.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.39 / $5.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.47 / $4.37