go back

New York rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $85.11 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $60.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $61.66 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $74.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $81.28 / $223.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $72.44 / $85.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $67.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $67.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $66.07 / $85.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $75.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $67.61