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Kentucky rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $66.00 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $90.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.70 / $77.83 / $132.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.44 / $66.00 / $66.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $79.20 / $105.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $72.59 / $101.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $66.00 / $88.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $66.00 / $84.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $73.47