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Georgia rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.99 / $1.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $3.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.98 / $7.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $3.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $4.98 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.12