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Massachusetts rates for HCPCS J9203

Gemtuzumab ozogamicin 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $321.08 / $467.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $283.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.28 / $653.30 / $1,183.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $1,029.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.66 / $290.57 / $564.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.12 / $236.62 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $237.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $373.86 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $273.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,809.82 / $16,809.82 / $16,809.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.75 / $1,183.09 / $1,183.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $250.82 / $1,029.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $306.50