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Rhode Island rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.50 / $214.50 / $214.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $68.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $65.26 / $70.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $73.47