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Washington, DC rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $738.25 / $899.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $238.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.61 / $236.61 / $283.49
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 / $301.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.13 / $217.29 / $244.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $263.41 / $348.31