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Texas rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.81 / $76.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $81.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $2.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $44.37 / $44.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.93 / $2.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.85 / $1.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.00 / $2.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.90 / $2.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $0.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $1.15