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Rhode Island 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
$775.00 / $775.00 / $775.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $250.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $173.64 / $765.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $265.45