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Arizona rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $35.25 / $55.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.18 / $23.11 / $821.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $63.19 / $104.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $16.95 / $117.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.61 / $21.19 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.51 / $17.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44