go back

Virginia rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $250.38 / $395.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $250.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $493.61 / $779.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $320.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.64 / $173.64 / $238.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $224.96 / $238.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.69 / $238.46 / $1,457.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.87 / $250.38 / $1,533.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.75 / $651.53 / $9,364.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $286.14 / $900.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $286.14 / $900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $252.77 / $281.63