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Arizona rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.42 / $135.36 / $203.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $65.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $146.13 / $294.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $54.14 / $358.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.30 / $78.39 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40