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Minnesota 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 / $286.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.40 / $257.97 / $500.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.76 / $241.00 / $248.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.38 / $363.80 / $751.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.53 / $261.27 / $301.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.55 / $358.68 / $817.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.53 / $237.53 / $249.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $236.62 / $482.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $263.41 / $608.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $256.26 / $438.69