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Rhode Island rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.54 / $1,610.54 / $1,610.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $515.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.84 / $494.43 / $522.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55