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Wyoming rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.12 / $26.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $51.77 / $51.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $22.53 / $22.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $29.28 / $33.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88