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Montana rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.59 / $185.59 / $185.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.90 / $1.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.00 / $2.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.00 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83