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Arizona rates for HCPCS J1429

Injection, golodirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.44 / $384.00 / $576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.52 / $155.52 / $186.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $570.88 / $904.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.60 / $153.60 / $1,017.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.07 / $192.00 / $222.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00