go back

Arkansas rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.15 / $239.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.28 / $32.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $3.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $5.46 / $5.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $4.07 / $4.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.13 / $7.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.13 / $4.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.54
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.32 / $5.48