go back

Arizona rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $71.09 / $106.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $43.45 / $59.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.62 / $122.31 / $193.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $34.76 / $226.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $35.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $47.41 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54