go back

Washington rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Facilitymedian $269 · 10th–90th $224$5890%20%10th90th$269Professionalmedian $240 · 10th–90th $240$3390%50%90th$240$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $302.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $281.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $245.47 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $239.88 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $239.88 / $288.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $489.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $741.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $275.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $309.03