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Mississippi rates for HCPCS J9215

Interferon Alfa-N3 (Human Leukocyte Derived) 250 000 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.63 / $43.37 / $43.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $30.00 / $43.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.80 / $31.80 / $32.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $32.53 / $32.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $36.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $30.00 / $38.40