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Kentucky rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,390.08 / $22,390.10 / $47,578.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $22,390.08 / $23,789.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,401.59 / $3,543.33 / $27,521.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,004.74 / $20,427.00 / $20,427.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,929.30 / $2,390.58 / $3,086.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.30 / $2,122.23 / $2,971.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.82 / $23,789.46 / $23,789.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,213.03 / $24,213.03 / $24,213.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,022.69 / $25,963.40