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Arizona rates for HCPCS J2793

Injection, rilonacept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.30 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $75.86 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $51.29 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $32.36 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $28.84