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Ohio rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $11.88 / $95.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.48 / $5.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $7.67 / $22.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.93 / $5.81
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.18 / $8.18 / $8.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.82 / $5.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.82 / $5.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.45 / $16.73
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $7.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.50 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.37