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Arizona rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.35 / $1,870.18 / $2,805.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.42 / $757.42 / $776.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.31 / $2,538.03 / $4,020.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.28 / $675.31 / $4,474.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.42 / $888.34 / $3,853.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.58 / $1,031.58 / $1,031.58