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Ohio rates for HCPCS J9230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $630.96 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $363.08 / $549.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $114.82 / $138.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $407.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $323.59 / $323.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $467.74
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $346.74