go back

Arizona rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.67 / $128.36 / $192.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $51.99 / $62.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.83 / $195.04 / $302.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $51.34 / $340.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.96 / $59.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42