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Arizona rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.29 / $69.34 / $194.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $62.99 / $82.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $192.67 / $305.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.64 / $51.84 / $343.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.42 / $57.74 / $75.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00