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Arizona rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.56 / $38.15 / $66.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.90 / $30.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $71.67 / $118.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $18.34 / $140.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $25.02 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02