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Kansas 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
$34.47 / $37.47 / $103.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $27.22 / $37.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $33.54 / $60.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $27.25 / $27.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $25.20 / $61.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.73 / $34.77 / $41.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $26.16 / $565.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.71 / $46.46