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Arizona rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $9,120.11 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,011.87 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,951.21 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $9,332.54 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $4,897.79