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Arizona rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.53 / $281.36 / $422.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.61 / $113.95 / $135.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.03 / $413.40 / $654.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $111.22 / $745.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.87 / $135.69 / $161.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24