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Ohio rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $78.73 / $120.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $46.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.18 / $62.22 / $103.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.63 / $61.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $36.28 / $54.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.28 / $58.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $35.44 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $46.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.28 / $51.03 / $115.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $51.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $42.96 / $50.79
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 / $36.28 / $43.17