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Rhode Island rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.58 / $145,123.20 / $145,123.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $258.64 / $268.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $258.52 / $273.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $287.92