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Missouri rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $24.06 / $236.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.44 / $113.43
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
$3.16 / $3.41 / $8.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.32 / $6.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $4.51 / $11.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.14 / $502.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.32 / $38.36