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Nationwide rates for HCPCS J0207

Injection Amifostine 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.11 / $1,207.39 / $2,369.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.55 / $1,067.11 / $1,173.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.69 / $1,814.04 / $3,417.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,092.83 / $1,135.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,094.50 / $1,274.98