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Ohio rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.89 / $9.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.83 / $1.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.00 / $81.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.84 / $5.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.94 / $1.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.83 / $18.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.95 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.04