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Rhode Island rates for HCPCS J9100

Cytarabine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $2.70 / $8.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.92