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Maryland rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $8,008.11 / $20,756.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.61 / $59.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $36.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $35.44 / $35.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $42.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $36.28 / $38.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.85 / $39.85 / $39.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.39 / $43.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $35.44 / $48.95