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Rhode Island rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.95 / $1,990.95 / $1,990.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.08 / $490.08 / $520.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $541.13 / $571.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.34 / $551.34 / $551.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50