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Arizona rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $84.69 / $108.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.44 / $143.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $9.35 / $16.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.01 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $4.16 / $151.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $502.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.32