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Kansas rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.16 / $147.18 / $570.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $139.84 / $181.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.19 / $148.87 / $156.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $133.91 / $133.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $122.15 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $147.18 / $181.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.50 / $129.58 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $145.76