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Arizona rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.26 / $1.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.75 / $3.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $2.25 / $3.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.60 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.97 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63