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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
$269.15 / $416.87 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $380.19 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $239.88 / $269.15