go back

Rhode Island rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.76 / $1,250.76 / $1,250.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $400.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.42 / $381.64 / $403.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $384.85 / $384.85
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 / $384.85 / $428.42