go back

Kentucky rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.82 / $93.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $4.05 / $4.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.82 / $5.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.62 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $7.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $4.50 / $5.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.66 / $6.37