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Rhode Island rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.10 / $1,686.10 / $1,686.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $440.98 / $440.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $458.27 / $484.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.92 / $466.92 / $466.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98