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Oregon rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $81.23 / $132.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $113.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $109.04 / $130.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $74.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.67 / $143.96 / $178.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $69.30 / $141.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $85.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.25 / $75.95 / $198.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $78.11 / $130.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $78.11 / $84.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $90.21 / $200.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $75.90