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Missouri rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $5.25 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.17 / $3.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.87 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.00 / $1.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.85 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.83 / $1.00