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Arizona rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $36.69 / $98.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.26 / $19.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $17.05 / $27.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.97 / $30.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $8.08 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78