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New Hampshire rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.97 / $1.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.25 / $1.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.83 / $0.83
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 / $1.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $8.35 / $12.28