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Arizona rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $812.83 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $524.81 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $446.68