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Arizona rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.57 / $118.82 / $56,124.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $78.80 / $56,326.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $201.47 / $329.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $55.96 / $377.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.70 / $76.90 / $173.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $59.70 / $59.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41