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Arizona rates for HCPCS J1700

Injection Hydrocortisone Acetate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.58 / $3.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $3.30 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.80 / $5.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.25 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36