go back

Arizona rates for HCPCS J1130

Injection, diclofenac sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.50 / $0.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25