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Arizona rates for HCPCS J0878

Injection, daptomycin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $74.13 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $61.66 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.09 / $0.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03