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Indiana rates for HCPCS J9300

Gemtuzumab ozogamicin inj

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,291.11 / $28,874.72 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,291.11 / $34,124.66 / $36,749.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.71 / $3,043.26 / $3,646.17