go back

Arizona rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.90 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $3.28 / $5.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.25