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Arizona rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.81 / $4,232.64 / $7,069.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.48 / $2,789.47 / $4,067.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.98 / $7,248.41 / $11,848.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.38 / $2,012.19 / $13,462.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $2,116.32 / $2,116.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.13 / $2,557.02 / $3,324.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.23 / $2,113.23 / $2,113.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32