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Arizona rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.29 / $617.36 / $926.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.47 / $371.23 / $645.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $1,057.60 / $1,675.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.62 / $284.54 / $1,963.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.80 / $390.99 / $482.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $306.80 / $306.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $308.68 / $308.68