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Arizona rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.31 / $473.24 / $709.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $238.98 / $312.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.10 / $744.64 / $1,265.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.15 / $229.05 / $251.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $236.62 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $272.11 / $472.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $513.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $250.82