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Arizona rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.66 / $178.80 / $268.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.41 / $72.41 / $86.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.60 / $193.03 / $388.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.17 / $71.52 / $473.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.65 / $89.40 / $103.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50