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Wyoming rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $163.21 / $163.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $165.90 / $190.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $190.52 / $190.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.96 / $154.96 / $154.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $201.44 / $232.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25