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Kansas rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $62.51 / $281.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $57.92 / $72.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.13 / $77.01 / $78.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $66.37 / $66.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $62.51 / $84.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $67.17 / $2,649.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $71.80