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Arizona rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $10.85 / $16.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $6.01 / $7.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $14.03 / $27.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $5.22 / $34.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $7.12 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46