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Alabama rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,019.95