go back

Indiana rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.26 / $515.41 / $1,503.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $238.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $434.18 / $525.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $299.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $217.09 / $325.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $271.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $245.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $230.12 / $260.51