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Wyoming rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,543.89 / $2,543.89 / $2,543.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,868.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,010.31 / $3,541.54 / $3,541.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.53 / $2,460.53 / $2,460.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $3,198.68 / $3,690.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,346.86 / $5,346.86 / $5,881.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16