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Arkansas rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.11 / $79.20 / $82.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $67.98 / $79.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.28 / $64.22 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $71.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $78.98