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Rhode Island rates for HCPCS J9340

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $318.00 / $336.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.00 / $324.00 / $324.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.66 / $264.66 / $317.08