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Arizona rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $10.92 / $5,624.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $6.85 / $5,729.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $18.04 / $29.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.01 / $34.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $6.28 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46