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North Carolina rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.42 / $212.42 / $543.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $216.90 / $258.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.15 / $353.73 / $441.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.01 / $229.01 / $286.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $216.90 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $254.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.69 / $191.42 / $274.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.69 / $262.10 / $308.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.04 / $356.78 / $415.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $229.91 / $286.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.51 / $1,084.50 / $1,084.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.51 / $936.51 / $936.51