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West Virginia rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $34,716.83 / $34,716.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $248.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.62 / $260.27 / $354.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $548.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $233.12 / $236.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $245.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $260.27 / $271.61