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Arizona rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $8.17 / $132.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.16 / $10.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $7.39 / $12.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.52 / $12.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.12 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04