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Washington, DC rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $223.88 / $301.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $120.24 / $203.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $74.77 / $79.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.37 / $67.37 / $79.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.13 / $79.26 / $128.46