go back

Kansas rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.15 / $379.33 / $42,730.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $269.08 / $26,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.50 / $269.72 / $283.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.31 / $267.31 / $267.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $250.00 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.72 / $263.69 / $391.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $287.79 / $6,942.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $274.16 / $307.77