go back

Virginia rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $33.94 / $67.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.12 / $35.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $49.43 / $78.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $32.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $29.60 / $29.60
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 / $23.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $23.88 / $80.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $44.70 / $293.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $60.37 / $104.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $28.66 / $87.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $28.66 / $87.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $25.31 / $28.20