go back

Arizona rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $21.90 / $32.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $10.64 / $24.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $34.54 / $54.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $8.76 / $58.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $10.02 / $12.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95