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Payers and negotiated rates for HCPCS J9090 | medprice.ai

PR CYCLOPHOSPHAMIDE 500 MG INJ

Payers reporting HCPCS J9090

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Payer pricing summary

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Low

$16

Average

$54

Median

$32

High

$217

Payer rate distribution

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Filter by billing methodology

Filter by billing class

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1	Aetna professional · percent of total billed charges · bothfrom % of charges · +1 other terms	8	$28	$30	$4	12%	—	$28 – $36
2	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$106	$94	$22	23%	—	$47 – $114
3	UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +1 other terms	7	$9	$13	$7	54%	—	$9 – $29
4	First Health professional · percent of total billed charges · bothfrom % of charges	6	$32	$32	$5	14%	—	$28 – $41
5	Humana professional · percent of total billed charges · bothfrom % of charges	6	$32	$27	$10	37%	—	$14 – $37
6	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms	5	$28	$25	$6	26%	—	$16 – $33
7	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$16	$16	—	—	—	$16 – $16
8	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$28	$28	—	—	—	$28 – $28
9	Kaiser fee schedule · both · +1 other terms	2	$35	$35	—	—	—	$35 – $35
10	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$28	$28	—	—	—	$28 – $28
11	Anthem facility · fee schedule · outpatient	1	$217	$217	—	—	—	$217 – $217
12	Cigna professional · fee schedule · outpatient · +2 other terms	1	$40	$40	—	—	—	$40 – $40

← Hospitals reporting HCPCS J9090 · Snapshot 20261113T090226Z-3ce6c0b8