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Maryland rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $87.58 / $282.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.22 / $89.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $3.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.13 / $12.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.51 / $38.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $4.09