go back

Alabama rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $30.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.09 / $30.16 / $50.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $56.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08