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California rates for HCPCS J9203

Gemtuzumab ozogamicin 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $473.56 / $1,218.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $238.98 / $538.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.03 / $377.95 / $847.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $245.54 / $520.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $100.00 / $332.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.08 / $241.08 / $579.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $223.22 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $271.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.12 / $256.43 / $314.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.96 / $283.94 / $473.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.08 / $1,159.44 / $1,183.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.23 / $1,029.23 / $1,029.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.89 / $477.89 / $477.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $246.08 / $403.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $291.39
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.57 / $365.57 / $365.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.29 / $236.62 / $354.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.39 / $636.96 / $636.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $449.91