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Virginia rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $12.07 / $23.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $13.00 / $13.00