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Kansas rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.97 / $110.96 / $349.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $80.84 / $110.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $86.14 / $91.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $82.09 / $82.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $74.77 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.87 / $85.89 / $111.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $79.39 / $87.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $91.75