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New Jersey rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $363.08 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $275.42 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $263.03 / $295.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $9,332.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $281.84 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $275.42