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Missouri rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $83.13 / $113.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $67.31 / $83.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $89.10 / $237.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $82.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $62.26 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $83.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $78.31 / $115.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $69.18 / $283.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $66.66 / $78.54