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Arizona rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.24 / $991.10 / $1,486.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.50 / $545.10 / $652.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.54 / $1,274.81 / $2,470.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.04 / $478.61 / $3,152.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.09 / $644.34 / $777.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.43 / $494.43 / $494.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55