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Indiana rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $155.44 / $451.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $73.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $132.00 / $159.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $91.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $99.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $82.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $83.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $74.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $76.44