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Kentucky rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $4,586.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,705.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.40 / $3,181.66 / $5,396.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.15 / $2,698.05 / $2,698.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $3,237.66 / $4,316.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,967.86 / $4,155.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.13 / $2,658.13 / $2,698.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,676.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,658.13 / $2,698.05 / $3,455.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,778.99 / $3,003.50