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Florida rates for HCPCS J9268

Pentostatin Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.16 / $4,289.00 / $5,800.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.89 / $2,608.16 / $2,868.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.53 / $2,608.16 / $3,010.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.82 / $2,608.16 / $2,608.16
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.69 / $2,657.37 / $2,657.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.94 / $57.13 / $83.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.43 / $3,261.58 / $4,772.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,764.65 / $2,903.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.89 / $2,543.89 / $2,608.16