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Wyoming rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $74.13 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $69.18