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Mississippi rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $8.90 / $8.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.31 / $8.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.76 / $6.07