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Kentucky rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $112.54 / $239.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $116.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.70 / $114.28 / $234.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $90.00 / $90.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.80 / $275.88 / $62,999.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $170.30 / $252.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $168.95 / $168.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24