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Virginia 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
$411.69 / $654.70 / $898.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $411.69 / $590.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $827.31 / $1,333.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.32 / $540.65 / $924.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $369.90 / $392.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.07 / $392.09 / $470.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $411.69 / $452.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $392.09 / $566.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.49 / $401.84 / $501.88
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.49 / $401.84 / $501.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $416.08