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Arizona rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.81 / $158.52 / $237.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $96.06 / $166.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.04 / $272.31 / $438.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.21 / $80.31 / $504.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.67 / $102.35 / $124.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $79.39 / $79.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26