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Wyoming rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $173.64 / $173.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $262.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $900.00 / $900.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $224.96 / $224.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $292.45 / $337.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46