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Illinois rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $43.98 / $134.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.28 / $43.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $36.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.12 / $140.38 / $669.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $44.83 / $44.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $42.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $52.61 / $101.46
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $47.16 / $47.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $52.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $40.63