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Virginia rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.58 / $1,214.80 / $2,402.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.32 / $1,086.28 / $1,112.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.45 / $1,112.45 / $1,493.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.08 / $1,156.08 / $1,156.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $1,001.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.45 / $1,523.52 / $4,186.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.61 / $1,068.26 / $1,774.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.00 / $1,216.61 / $1,766.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.00 / $1,576.35 / $2,110.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,313.90