go back

Arkansas rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.37 / $283.94 / $298.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $248.45 / $283.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.70 / $256.70 / $256.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.92 / $256.70 / $256.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.09 / $233.12 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $256.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.87 / $236.62 / $272.11