go back

Nevada 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 / $4,833.39 / $6,006.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,634.24 / $5,397.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.46 / $2,738.57 / $8,320.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,639.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,732.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,829.60 / $3,541.54
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,809.11 / $2,809.11 / $2,809.11
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,764.65