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Ohio rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $467.74 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $436.52 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $398.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $398.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $234.42 / $758.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $446.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $338.84
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $263.03