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North Carolina rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $229.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $239.88 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $269.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $239.88 / $380.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $323.59 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $389.05 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $269.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29