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Washington rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.35 / $93.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.86 / $1.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $85.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.91 / $44.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.00 / $2.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.00 / $2.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $70.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.94 / $2.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.96 / $0.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.01 / $1.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.91 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83