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Wyoming rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $42.07 / $42.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $33.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $50.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54