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Arizona rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $36.60 / $54.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $20.13 / $47.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $62.86 / $102.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $17.62 / $116.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $18.30 / $18.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $24.04 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.21 / $18.21 / $18.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30