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Wyoming rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.68 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.47