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Mississippi rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.45 / $283.94 / $283.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $238.98 / $283.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.01 / $195.01 / $195.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.80 / $196.80 / $199.52
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 / $236.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.05 / $310.05 / $310.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.79 / $236.62 / $302.87