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Washington rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.98 / $72.59 / $135.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $82.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.02 / $95.07 / $326.39
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $72.59 / $283.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $64.22 / $155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $80.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $69.20 / $166.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $67.37 / $139.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $71.80 / $88.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.25 / $74.72 / $170.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.82 / $96.10 / $173.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $81.78 / $147.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $76.06 / $126.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $72.59 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $79.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.22 / $66.00 / $66.00