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Utah rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $23.37 / $238.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.84 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.17 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.03 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.12 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83