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Wyoming rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $6.45 / $6.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.08