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Arizona rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.59 / $1,017.92 / $1,526.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.86 / $628.62 / $1,163.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.60 / $1,759.47 / $2,836.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $502.90 / $3,237.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.38 / $662.04 / $817.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.52 / $519.52 / $519.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96