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Alabama rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $393.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $392.09 / $435.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.53 / $580.72 / $781.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $395.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $502.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $392.09