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California rates for HCPCS J3400

Injection Triflupromazine Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $24.31 / $28.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $10.79 / $18.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.99 / $11.72 / $13.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $11.05 / $26.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $14.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $8.30 / $20.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $15.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $24.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $26.51