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Wyoming rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $119.07 / $119.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.16 / $4.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.91 / $11.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.84 / $4.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13