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Arizona rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $3.04 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.35 / $1.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52