go back

Arizona rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $63.02 / $95.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $76.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $12.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.35 / $0.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $3.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $1.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11