go back

Michigan rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $87.37 / $209.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $73.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.67 / $143.94 / $274.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $69.93 / $90.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $77.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $117.62 / $187.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $82.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $71.80 / $97.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $73.47 / $81.84