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Arizona rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.28 / $55.10 / $472.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $13.54 / $171.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $31.80 / $52.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $8.73 / $62.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.92 / $14.19 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86