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Rhode Island rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,897.14 / $7,897.14 / $7,897.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,551.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,440.69 / $2,578.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,704.98