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Texas rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $105.32 / $147.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $78.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $108.00 / $215.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.72 / $71.72 / $71.72
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.65 / $66.50 / $4,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,819.27 / $3,819.27 / $3,819.27
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 / $66.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.83 / $326.39 / $330.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.51 / $283.51 / $283.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $66.00 / $105.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $67.31 / $108.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.88 / $72.59 / $129.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $108.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $80.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $73.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.22 / $66.00 / $92.40