go back

California rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $50.78 / $199.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.96 / $54.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $27.59 / $36.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $25.20 / $111.98
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.47 / $41.95 / $63.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $28.76 / $76.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $32.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $25.07 / $33.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $30.24 / $56.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $866.62 / $866.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $565.38 / $587.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $51.39 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $32.04 / $66.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $34.95
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $46.83 / $46.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $25.20 / $37.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $49.47