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California rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.78 / $42.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.84 / $1.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.92 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.84 / $3.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.10 / $1.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.89 / $2.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.07 / $6.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.00 / $2.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $44.37 / $44.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.61 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.94 / $2.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.68