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Arizona rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.62 / $79.66 / $11,220.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.43 / $48.19 / $103.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.74 / $138.08 / $216.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $38.54 / $253.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $52.57 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83