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Maryland rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $65.26 / $14,138.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $90.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $65.25 / $66.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.22 / $64.22 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $77.83
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 / $78.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.22 / $64.22 / $88.10