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Kansas rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.35 / $267.87 / $1,041.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $255.55 / $331.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.16 / $264.50 / $278.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.66 / $244.66 / $244.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $236.62 / $283.00
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 / $256.17 / $361.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $263.41 / $1,029.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $250.82 / $281.58