go back

Nebraska rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $66.00 / $145.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $92.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $71.59 / $71.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.03 / $80.03 / $80.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $84.49 / $100.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.02 / $94.63 / $130.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $70.68 / $97.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.44 / $97.92 / $130.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $96.32 / $100.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.17 / $91.90 / $134.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $78.54