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Rhode Island rates for HCPCS J9211

Idarubicin Hydrochloride 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.18 / $119.18 / $119.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $38.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $37.04 / $52.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $46.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $40.82