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Rhode Island rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.54 / $705.54 / $705.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $227.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.10 / $217.09 / $229.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
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 / $217.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $241.67