go back

Illinois rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $79.86 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $66.00 / $78.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.90 / $259.26 / $1,111.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $83.39 / $84.00
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 / $83.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $85.20 / $159.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $85.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $91.39 / $97.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $74.84