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Kansas 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
$401.75 / $471.86 / $1,733.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $454.82 / $561.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.51 / $502.95 / $536.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.65 / $422.65 / $422.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $401.08 / $502.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.93 / $413.57 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.79 / $393.87 / $448.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $441.38