go back

Wyoming rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.46 / $29.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $44.09 / $44.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $30.91 / $35.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20