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Arizona rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $11.28 / $16.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.91 / $12.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $19.50 / $31.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.53 / $35.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $7.54 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.71 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64