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Arizona rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.26 / $864.04 / $1,296.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.33 / $528.17 / $940.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.43 / $1,541.45 / $2,556.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $422.54 / $2,748.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.47 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $528.17 / $686.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.51 / $436.51 / $436.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $449.30