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Kentucky rates for HCPCS J7503

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.86 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.19 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.91 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $7.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.86 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.86 / $1.95