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Washington rates for HCPCS J9300

Gemtuzumab ozogamicin inj

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,599.07 / $13,712.95 / $13,712.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,866.90 / $7,866.90 / $7,866.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.71 / $3,043.26 / $3,646.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20