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Massachusetts 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
$0.83 / $1.13 / $32.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.75 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $44.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.02 / $1.98
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 / $0.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $6.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.96
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.45 / $1.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $44.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.96