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Wyoming rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.03 / $108.03 / $108.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $96.86 / $105.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $240.00 / $240.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.47 / $90.47 / $90.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $117.61 / $135.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $157.10