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Kansas rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $139.02 / $140.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $140.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.37 / $125.85 / $134.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $124.43 / $165.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.85 / $117.24 / $129.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $139.28