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Arizona rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.69 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $3.47 / $5.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.91 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.66 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.41