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Virginia rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.09 / $82.23 / $29,603.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.64 / $45.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $75.09 / $118.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $48.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $36.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $36.28 / $43.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $38.09 / $58.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $51.00 / $81.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $41.72 / $54.42
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $41.72 / $54.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.85 / $26.85 / $26.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $40.81