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Arizona rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.46 / $37.92 / $62.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $24.86 / $2,256.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $70.11 / $116.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $18.23 / $133.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $24.86 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99