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Massachusetts rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $88.56 / $128.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $78.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $176.88 / $330.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.30 / $283.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.75 / $81.05 / $157.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $108.57 / $137.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.22 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $103.11 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $76.39
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.09 / $1,668.09 / $1,668.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.79 / $330.00 / $330.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $283.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.30 / $85.49