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Ohio rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $143.22 / $219.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $83.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.28 / $113.19 / $188.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $73.92 / $111.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $99.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $89.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $66.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $84.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $66.00 / $92.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $93.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $75.07 / $94.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.87 / $66.00 / $80.81