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Tennessee rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $84.84 / $142.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $66.00 / $79.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $65.28 / $65.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $68.33 / $78.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.22 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.83 / $87.79 / $330.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.51 / $283.51 / $283.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $66.00 / $73.92