go back

Wyoming rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $505.51 / $505.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $505.51 / $508.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $596.88 / $596.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $479.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $719.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76