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Indiana rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $20.50 / $798.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.16 / $3.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $6.26 / $9.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $4.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.13 / $4.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.91
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 / $7.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $4.18 / $38.36