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Wyoming rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $129.58 / $129.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $147.18 / $147.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $122.15 / $122.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $183.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47