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Alaska rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.36 / $120.16 / $424.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.91 / $72.59 / $122.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.66 / $122.76 / $171.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $132.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.93 / $113.54 / $178.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.09 / $97.32 / $97.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $122.76 / $171.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $78.11 / $94.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $99.00 / $198.00