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Wyoming rates for HCPCS J9203

Injection, gemtuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $257.04