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Arizona rates for HCPCS C9254

Injection, lacosamide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.51 / $550.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.71 / $1.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.19 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.27 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27