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Kentucky rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $22.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $14.98 / $14.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $12.70 / $12.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $55,999.44 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.70 / $18.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00