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Virginia rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $66.18 / $245.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $31.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $28.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $20.90 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $20.30 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $21.53 / $50.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $34.45 / $74.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $38.00 / $50.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $25.84 / $47.05
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $25.84 / $47.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.82 / $50.81