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Missouri rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $267.87 / $364.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $241.35 / $286.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $319.44 / $849.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $295.77
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 / $281.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $267.87 / $459.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.79 / $250.24 / $1,029.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.28 / $236.62 / $281.58