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Alabama rates for HCPCS J9208

Ifosfamide 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $25.20 / $34.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $30.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $31.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $25.20 / $28.80