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Ohio rates for HCPCS J9300

Gemtuzumab ozogamicin inj

Insurance Carrier
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,019.95 / $3,630.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00