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Wyoming rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $381.64 / $381.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.64 / $381.64 / $384.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.42 / $435.79 / $435.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $363.06 / $363.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $544.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $428.42