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Rhode Island rates for HCPCS J9230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.85 / $1,207.85 / $1,207.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $315.89 / $315.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.74 / $356.38 / $712.45
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 / $321.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $344.77