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Colorado rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.53 / $5,087.78 / $5,316.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $3,025.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,868.98 / $4,579.41 / $8,346.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.53 / $2,460.53 / $3,615.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.86 / $2,764.65 / $4,202.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,842.89 / $2,868.97 / $3,912.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,411.16 / $4,411.16 / $4,411.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,764.65