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Arizona rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.32 / $387.52 / $581.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.73 / $213.13 / $250.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.32 / $655.97 / $1,061.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.99 / $180.35 / $1,232.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $193.76 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $247.82 / $298.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.75 / $189.75 / $189.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76