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Ohio rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $24.05 / $32.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $28.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $12.70 / $21.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
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 / $17.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $17.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $14.06