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Wyoming rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62