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Virginia 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 / $507.25 / $801.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.66 / $317.08 / $318.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.57 / $1,044.00 / $1,141.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.00 / $129.00 / $452.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.01 / $477.26 / $746.00