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Wyoming 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
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $263.03 / $275.42