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Arizona rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $14.62 / $21.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $9.11 / $27.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $27.41 / $46.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.29 / $46.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $9.60 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31