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Washington, DC rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $92.35 / $296.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $26.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $29.60 / $35.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $22.53 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $30.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $23.88 / $72.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $26.58 / $35.15