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Arizona rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $645.65 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $851.14 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $588.84 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $371.54 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $186.21 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12