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Arizona rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,599.98 / $4,859.78 / $7,289.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,454.19 / $3,221.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.56 / $7,632.28 / $13,254.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.69 / $2,362.60 / $2,598.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,831.21 / $4,563.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.69 / $2,440.69 / $5,296.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,575.67