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Rhode Island rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.21 / $457.21 / $457.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $119.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $124.27 / $131.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.61 / $126.61 / $126.61
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24