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Arizona rates for HCPCS J0945

Brompheniramine Maleate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.84 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.00 / $1.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80