go back

South Carolina rates for HCPCS J9229

Inj inotuzumab ozogam 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,832.96 / $2,832.96 / $11,453.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.96 / $2,725.03 / $3,264.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.15 / $2,743.65 / $4,692.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $3,029.35 / $3,679.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.33 / $2,698.05 / $3,189.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,799.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,439.71 / $2,698.05 / $4,389.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,439.71 / $2,439.71 / $4,212.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,455.57 / $3,455.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.34 / $2,859.93 / $3,129.74