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Wisconsin rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.85 / $67.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.85 / $1.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.49 / $1.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.18 / $2.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.03 / $1.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.84 / $2.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.66 / $1.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.90 / $44.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.84 / $2.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.66 / $1.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.08 / $2.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.46 / $44.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.17 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.87 / $1.05