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Virginia rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $248.52 / $494.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $238.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $448.98 / $709.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $290.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.74 / $216.74 / $216.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $204.63 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.37 / $216.90 / $260.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.43 / $227.75 / $347.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $308.00 / $481.51
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $249.44 / $325.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $249.44 / $325.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $229.91 / $254.90