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Maine rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $8.36 / $8.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.86 / $1.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $8.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.87 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.45