go back

North Carolina rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $7.08 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $8.91 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $6.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $6.17 / $6.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $8.91 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.75 / $7.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11