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Delaware 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
$1,122.91 / $1,122.91 / $1,122.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $392.08 / $392.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $462.42