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Arizona rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $54.95 / $726.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.88 / $55.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $6.85 / $11.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.11 / $12.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.43 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02