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Pennsylvania rates for HCPCS J9230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.89 / $458.06 / $783.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $315.89 / $339.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $308.47 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.47 / $308.47 / $308.47
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.17 / $347.26 / $435.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.89 / $467.53 / $783.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $315.89 / $445.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $254.20 / $306.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $349.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $328.29 / $427.71