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Arizona rates for HCPCS J9100

Cytarabine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.37 / $101.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.86 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $2.54 / $4.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.80 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.04 / $3.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $44.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.88