go back

Alaska rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $79.43 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.05 / $2.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.05 / $2.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.62 / $2.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.38 / $1.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.17 / $3.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.26 / $2.34