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Rhode Island rates for HCPCS J1305

Injection Evinacumab-Dgnb 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.72 / $629.72 / $629.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $201.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $189.75 / $200.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $193.76 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76