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Georgia rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.05 / $398.94 / $899.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $315.00 / $441.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.17 / $318.17 / $318.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $266.10 / $1,151.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $308.80 / $687.30