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Arizona rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.59 / $132.00 / $19,708.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $90.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.80 / $204.98 / $354.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $63.36 / $69.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $75.95 / $124.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $65.26 / $141.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $69.95