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Indiana rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $98.99 / $12,423.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $42.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $72.56 / $87.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $50.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $36.28 / $54.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $45.35
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 / $41.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $42.76