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Arizona rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.54 / $258.95 / $14,588.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.71 / $156.79 / $320.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.82 / $448.05 / $737.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $125.43 / $823.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.62 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $172.26 / $356.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.58 / $129.58 / $129.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47