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Rhode Island 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
$50.88 / $69.97 / $116.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $22.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $20.90 / $39.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
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 / $23.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $30.42