go back

Wyoming rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,440.69 / $2,440.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,440.69 / $2,672.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,528.26 / $2,974.42 / $2,974.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,292.35 / $2,292.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,980.06 / $3,438.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89