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North Carolina rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $8,524.14 / $27,648.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $36.28 / $43.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.63 / $59.35 / $74.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $38.32 / $47.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $42.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $42.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.04 / $32.54 / $46.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $44.03 / $51.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $59.65 / $69.47
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 / $43.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $181.40 / $181.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $156.44 / $156.44