go back

Kansas rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $50.79 / $7,465.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $41.72 / $10,455.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $36.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $39.84 / $41.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $37.49 / $37.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $39.09 / $55.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $40.36 / $156.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $43.17