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Wyoming rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $258.52 / $258.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $261.23 / $300.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $304.22 / $304.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $244.00 / $244.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $317.20 / $366.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64