go back

Washington, DC rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.00 / $1,326.00 / $1,326.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.18 / $370.18 / $370.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.01 / $1,326.00 / $1,326.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.30 / $202.42 / $416.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,447.17 / $1,913.63