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Arizona rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.11 / $329.18 / $493.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $184.34 / $445.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.26 / $568.99 / $930.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.89 / $162.75 / $1,047.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $217.22 / $264.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.13 / $168.13 / $168.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59