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Arizona rates for HCPCS J0490

Belimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.99 / $112.14 / $5,207.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $67.77 / $6,035.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.89 / $192.60 / $313.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $53.21 / $356.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $73.93 / $88.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $56.01 / $56.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07