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Arizona rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $833.12 / $1,249.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.41 / $337.41 / $404.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.67 / $1,262.09 / $1,950.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.11 / $333.25 / $2,208.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.41 / $404.89 / $482.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54