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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
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $269.15 / $281.84