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Kansas rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.12 / $764.02 / $900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.10 / $243.23 / $900.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.30 / $361.37 / $2,746.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.77 / $257.77 / $257.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $238.46 / $5,079.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $243.10 / $900.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.64 / $193.30 / $16,586.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $252.77 / $310.00