go back

Florida 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
$25.20 / $46.62 / $341.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $25.20 / $30.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $24.62 / $24.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $25.20 / $76.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $56.90
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $26.63 / $26.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $14.08 / $21.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.71 / $28.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $25.20