go back

Mississippi rates for HCPCS J9210

Injection Emapalumab-Lzsg 1 Mg (Reinstated) Hexamethylmelamine (Deleted 3/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.09 / $457.97 / $461.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $404.09 / $519.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.93 / $303.93 / $303.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $384.85 / $451.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $396.76 / $533.27