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Mississippi rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $25.08 / $45.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $26.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.92 / $42.92 / $47.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.23 / $26.23 / $26.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $25.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $23.12 / $28.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $21.53 / $29.28