go back

Idaho rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.86 / $1.04
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 / $0.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.11 / $3.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.26 / $1.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.88