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Kansas rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $501.19 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $269.15 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $281.84