go back

Mississippi 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
$502.90 / $502.90 / $1,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.00 / $1,294.80 / $1,872.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.31 / $314.31 / $314.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.31 / $314.31 / $351.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.22 / $1,326.00 / $1,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.11 / $1,326.00 / $1,326.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.18 / $370.18 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,300.00 / $1,664.00