go back

Arizona rates for HCPCS 80220

Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $28.52 / $121.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.05 / $13.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $41.01 / $68.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $15.70 / $22.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $29.09 / $52.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $22.72 / $28.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $88.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $7.83 / $14.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $7.83 / $11.99