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North Carolina rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,585.41 / $3,010.31 / $5,037.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,585.41 / $2,608.16 / $3,078.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,899.08 / $3,844.64 / $5,183.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.50 / $2,615.89 / $3,364.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.53 / $2,608.16 / $3,279.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $3,541.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.80 / $2,487.85 / $3,895.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.80 / $1,992.00 / $3,962.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,578.70 / $4,173.05 / $4,994.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.58 / $3,261.58 / $4,411.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,764.65 / $3,129.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,469.35 / $13,040.80 / $13,040.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,064.38 / $12,064.38 / $12,064.38