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Arizona rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.57 / $68.36 / $102.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $41.35 / $64.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.34 / $119.55 / $188.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $32.01 / $217.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $34.18 / $34.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $45.10 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $34.17 / $34.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18