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Pennsylvania rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $111.39 / $198.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $79.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.12 / $71.59 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $68.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $71.59 / $85.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.10 / $126.10 / $126.10
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $72.70 / $73.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $98.87 / $198.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.91 / $66.65 / $142.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $106.10 / $129.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $66.00 / $66.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $70.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.06 / $60.06 / $69.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.06 / $60.06 / $69.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $89.10