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North Carolina rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $109.65 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $128.82 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $69.18 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $85.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $67.61 / $104.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $89.13 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $107.15 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $74.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84