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Virginia rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $292.49 / $581.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $281.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $530.11 / $837.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $343.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.09 / $255.09 / $256.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $241.59 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.68 / $256.08 / $307.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.32 / $268.89 / $409.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.76 / $329.00 / $556.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.53 / $278.98 / $384.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.53 / $278.98 / $384.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $271.45 / $288.07