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Nevada rates for HCPCS J9204

Injection, mogamulizumab-kpkc, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.50 / $472.15 / $572.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $250.98 / $534.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.38 / $260.93 / $792.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $257.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.32 / $248.50 / $248.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $248.50
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.90 / $269.60 / $286.94
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.97 / $263.97 / $263.97
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $248.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $263.41