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Alabama rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $65.26 / $66.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $79.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.85 / $6,283.58 / $8,453.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $66.00 / $72.59