go back

Arizona rates for HCPCS 84252

Riboflavin (Vitamin B-2)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $67.97 / $193.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $17.64 / $18.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $14.06 / $14.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.32 / $44.45 / $74.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $17.05 / $24.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.17 / $32.90 / $59.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $24.78 / $30.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.18 / $18.35 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $11.88 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $11.88 / $16.19