go back

Michigan rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.08 / $3.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.84 / $0.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.90 / $3.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.24 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.62 / $3.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.89 / $1.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.92 / $1.09