go back

Illinois rates for HCPCS J9293

Mitoxantrone Hydrochl / 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $40.81 / $59.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.12 / $35.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $204.37 / $525.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $49.67 / $56.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $51.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $73.45 / $393.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.04 / $31.04 / $31.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $38.77 / $41.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $25.31 / $29.85