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North Dakota rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $117.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $78.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $71.95 / $72.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.07 / $71.95 / $72.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.53 / $84.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.96 / $71.78 / $118.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $72.67 / $283.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $73.47 / $79.79