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Rhode Island rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.02 / $769.02 / $769.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $248.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.10 / $236.62 / $250.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $236.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $263.41