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Maryland rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $352.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.61 / $236.61 / $236.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.12 / $233.12 / $233.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $279.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.13 / $236.62 / $248.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $263.41 / $286.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.12 / $233.12 / $319.44