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Mississippi rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.75 / $445.98 / $445.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $445.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.72 / $245.72 / $270.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.84 / $160.84 / $328.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $333.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.22 / $309.70 / $396.43