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Connecticut rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.08 / $343.10 / $639.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $286.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $359.71 / $709.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.54 / $251.12 / $282.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.79 / $236.62 / $260.27