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Arizona rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.30 / $133.28 / $199.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $78.83 / $94.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.33 / $230.37 / $371.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $69.37 / $423.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $90.77 / $112.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $71.66 / $79.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $71.66