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Indiana rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $2.27 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.66 / $2.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.04
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 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.11