go back

North Carolina rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $33,841.46 / $96,683.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $258.64 / $365.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $258.52 / $258.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.02 / $390.70 / $476.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.94 / $265.83 / $292.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $258.64 / $497.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $304.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.99 / $212.95 / $322.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.99 / $265.91 / $361.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.60 / $425.31 / $495.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $274.16 / $310.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.04 / $1,293.20 / $1,293.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,942.60 / $6,942.60 / $6,942.60