go back

Kansas rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $89.13 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $85.11 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $79.43 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $91.20