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Mississippi 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
$10.66 / $15.60 / $15.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $11.05 / $15.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $9.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $12.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $13.00 / $16.64