go back

Rhode Island rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.81 / $420.81 / $420.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $134.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.10 / $129.58 / $136.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47