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North Carolina rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,001.51 / $22,083.00 / $23,789.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,083.00 / $22,949.83 / $23,789.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.59 / $5,555.93 / $7,460.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.82 / $3,174.82 / $5,555.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $36,560.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.82 / $4,929.22 / $30,786.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,801.82 / $2,922.00 / $34,314.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,213.03 / $24,213.03 / $24,213.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,722.38 / $27,987.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,588.22 / $121,142.10 / $121,142.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106,352.88 / $106,352.88 / $125,944.20