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Arizona rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Facilitymedian $129 · 10th–90th $58–$3240%10%10th90th$129Professionalmedian $54 · 10th–90th $51–$650%50%10th90th$54$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $112.20 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $204.17 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $102.33 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23