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Washington, DC rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $203.61 / $247.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $73.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $65.25 / $78.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $62.26 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $84.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $66.00 / $74.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $73.47 / $97.15