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Pennsylvania rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $2.00 / $1,095.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.00 / $81.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.90 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
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 / $0.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.90 / $1.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $85.42 / $87.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.97 / $263.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.84 / $1.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.90 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.83 / $0.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.63