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Virginia rates for HCPCS J9261

Injection Nelarabine 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $142.15 / $269.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $87.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $165.31 / $261.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $107.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $63.38 / $79.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $75.34 / $79.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $79.86 / $154.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $100.79 / $205.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $213.00 / $359.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $95.83 / $158.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $95.83 / $158.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $84.65 / $95.03