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Arizona rates for HCPCS J0879

Injection, difelikefalin, 0.1 mcg, (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.56 / $0.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.83 / $1.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.22 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.33 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23