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Wyoming rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $20.90 / $20.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $24.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.99 / $47.05 / $47.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $20.30 / $20.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $26.40 / $30.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53