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Arizona rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $19.10 / $116.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $10.91 / $22.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $30.66 / $47.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $8.73 / $57.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $14.19 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01