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Wyoming rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.74 / $216.74 / $216.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $238.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $254.90 / $254.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $204.63 / $204.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $266.01 / $306.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90