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Oklahoma rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.52 / $70.48 / $99.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $79.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $62.26 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.91 / $70.48 / $100.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.29 / $65.28 / $83.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $78.54