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Illinois rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.22 / $3.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.83 / $0.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $4.53 / $18.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.20
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 / $1.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.96 / $8.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.12 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.04