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Rhode Island rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,253.50 / $4,253.50 / $4,253.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $1,112.45 / $1,112.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.96 / $2,348.96 / $2,609.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $1,271.59 / $2,050.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,308.77