go back

Utah rates for HCPCS J9206

Injection, irinotecan, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $301.74 / $514.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.80 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.60 / $2.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.89 / $10.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.38 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75