go back

Nevada rates for HCPCS J7503

Tacrolimus Extended Release (Envarsus Xr) Oral 0.25 Mg (Reinstated 01/01/2016) Cyclosporine Parenteral 250 Mg/5 Ml (Del 12/31/99)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $3.48 / $4.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.85 / $3.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.92 / $5.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.99 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83