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Arizona rates for HCPCS J2998

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.58 / $87.06 / $130.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.26 / $35.26 / $42.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $92.55 / $198.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $34.82 / $253.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.71 / $40.71 / $40.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $40.71 / $40.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.26 / $50.42 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $39.90 / $39.90