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Mississippi rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.30 / $78.31 / $79.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $79.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.76 / $39.76 / $43.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $40.69 / $49.78
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.44 / $65.28 / $86.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $66.00 / $84.48