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Arizona rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.57 / $1,159.94 / $1,739.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.96 / $701.79 / $1,296.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.91 / $1,992.20 / $3,218.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.77 / $546.57 / $3,689.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $579.97 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.36 / $751.08 / $912.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.99 / $579.99 / $579.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97