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Arizona rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $107 · 10th–90th $39–$2190%10%20%10th90th$107Professionalmedian $60 · 10th–90th $58–$1620%50%10th90th$60$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $134.90 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $112.20 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $53.70 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $57.54