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Arizona rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $2.20 / $3.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.27 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94