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West Virginia rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $2.85 / $2.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.91 / $1.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.83 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.92 / $3.37