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Mississippi rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $128.82 / $199.53