go back

California rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $4,881.39 / $5,479.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,454.19 / $5,198.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,562.73 / $3,881.26 / $9,521.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,440.69 / $5,076.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $100.00 / $3,360.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.73 / $2,475.73 / $5,893.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,292.35 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,974.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.36 / $2,441.48 / $3,258.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.90 / $2,915.87 / $4,641.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,232.21 / $11,906.46 / $12,207.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,655.19 / $10,655.19 / $10,655.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $4,947.38 / $4,947.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,527.09 / $4,137.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,016.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.08 / $3,532.08 / $3,532.08
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.91 / $2,429.89 / $3,644.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,905.73 / $6,223.97 / $6,223.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,432.12