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Arizona rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.54 / $1,116.92 / $1,675.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.29 / $675.86 / $1,422.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.69 / $1,918.31 / $3,092.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.08 / $525.21 / $3,552.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.61 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.05 / $721.72 / $878.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.55 / $558.55 / $558.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46