go back

Arizona rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $8.94 / $160.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.98 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $5.25 / $9.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.58 / $11.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $2.27 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75