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California rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $5,396.10 / $13,895.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,725.03 / $6,134.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.36 / $4,309.60 / $9,660.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,799.86 / $5,930.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $100.00 / $3,054.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,748.96 / $2,748.96 / $6,608.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.33 / $2,545.33 / $2,698.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,188.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,658.13 / $2,923.94 / $3,588.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.25 / $3,237.66 / $5,935.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,535.81 / $13,220.45 / $13,490.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,735.90 / $11,735.90 / $11,735.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,449.16 / $5,449.16 / $5,449.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $2,805.98 / $4,594.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,322.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,167.85 / $4,167.85 / $4,167.85
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.44 / $2,698.05 / $4,047.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $4,521.39