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Minnesota rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $78.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $64.77 / $148.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $66.45 / $68.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.10 / $101.47 / $211.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $73.18 / $84.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.12 / $101.15 / $230.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $66.53 / $70.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $65.26 / $123.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $72.65 / $168.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $126.27