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Oregon rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $346.74 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $398.11 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $501.19 / $602.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $257.04 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $338.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $295.12 / $489.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $251.19 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $251.19 / $309.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $371.54 / $724.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $269.15