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Mississippi rates for HCPCS J9295

Injection Necitumumab 1 Mg (Reinstated 01/01/2017). Polyestradiol Phosphate 40 Mg (Del 03/31/2003).

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $6.88 / $6.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.79 / $6.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.74 / $7.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.73 / $7.33