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Rhode Island rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.21 / $1,003.21 / $1,003.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $321.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $306.80 / $324.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68